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Graham Carriage Works 
     Order Form
HyperBike
When ordering, please print and mail completed form with payment to:
Graham Carriage Works, 14699 Plum Dr., Oregon City, OR  97045
 
Name: _______________________________________________________________________
 
Address: _____________________________________________________________________
 
City: _________________________________________ State: ________ Zip: _____________
 
Phone: (          )________________________ Cell: (         )____________________________
 
E-Mail Address: _______________________________________________________________
 
Information about your horse will help us serve you better:
 
Name of Animal: ______________________________________________ Age: ________
 
Chest Width: _______ Barrel Measurement: _________ Height at Shoulder: ___________
 
Check One:  __Miniature Horse   __Pony   __Donkey   __Llama   __Other _____________               
 
Carriage Prices:
 
_____ HyperBike    $1090.00
   _____ Wheel Sets: Pneumatic Wheel Set included in HyperBike price
      _____ Pneumatic "Knobby" Tire Set    $175.00
      _____ Airless Tire Set   $175.00
   _____ Spares Bag (circle desired size)   Small   $35.00;   Large   $40.00
   _____ "A" shaft set, with stirrups   $200
   _____ "B" shaft set, with stirrups   $200
   _____ "C" shaft set, with stirrups   $250
_____ Pleasure Driving Cart "TrailBoss" for Miniature Horse with Bench Seat   $2000.00
_____ Pleasure Driving Cart "TrailBoss" for Pony with Bench Seat    $2100.00
   _____ Suspension Kit   $350.00
_____ Custom Seat Color   $25.00   (Standard color is red. See color swatches for other choices)
 
For assistance please call us at (503)656-0102
    
 
 
 
Method of Payment: (Only US funds accepted) Please make checks payable to Robert Graham.
 
Personal Check: #__________ Bank: __________________________________________
 
Cashier's Check: # _________ Bank: __________________________________________
 
_____ I am interested in the no-interest layaway plan
 
Signature: _____________________________________________ Date: _______________
 
How did you hear of Graham Carriage Works? ____________________________________