BOW ORDER FORM

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Send this completed form with your order to:

Bows By Darryl Broszeit
Box 248
Miami, Mb.
R0G 1H0
1-204-435-2155
E-mail: longbows@cici.mb.ca


Customer Information:
Name_______________________________________________________
Address_____________________________________________________
City___________________________State/Prov._____________________
Postal Code___________________Phone:__________________________

Date:________________


Right or Left Hand_____________________Draw Weight_______________________
Draw Length__________________________Bow Length_______________________
Draw Style (split finger or 3 fingers under)_________________________




Bow Model:______________________Limb Core:___________ $ ______
Riser Wood(s):________________________________________
Extra Options:_________________________________________
_____________________________________________________
____________________________________________________ $ ______
Extra Bowstring(s):_____@ $8.00 length:_______# strands:______ $ ______
Handle Wrap Color:______________(n/c)


............................................................................................................................Subtotal: $_______

...........................................................................................................................
Please Note: For Shipping and Handling --(You will be notified of S&H costs when bow is near completion, these are to be paid and included with the final balance)
........................................................................................................................... TOTAL:$_______

(Special Requests):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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