CRS Gold DFM
Horse Probiotics
Printable Order Form
www.PSHorse.com

Name:__________________________________________________ Address:________________________________________________ City:_______________________________ State:________________ Zip:_________________ Phone:(_____)____________________ E-mail:_______________________________________

CRS Gold DFM Equine Probiotic
Sale List and Pricing:

10 lb. Pail	$60.00
Shipping/Handling	included
How Many?	______
Total	______

25 lb. Pail	$107.00
Shipping/Handling	included
How Many?	______
Total	______

50 lb. Pail	$200.00
Shipping/Handling	included
How Many?	______
Total	______

Total of this order.............................................................................Total $_______

Send this form and Check or Money Order to: Philip & Vicky Stipp 205 Armstrong Station Rd Springville, IN 47462

Contact Info: E-mail: info@pshorse.com

**Delivery Information** Please allow 3 weeks for delivery. If paying by check, shipping will not occur until check clears.