(Please print this page and send it to the address below with 50% Deposit.)

                                         Tin Top Carriage Company
                                                              4994 Tin Top Rd.
                                                          Weatherford, Tx. 76087
                                                                817-594-3394


                                                        Carriage Order Form
                     Customer Name:_________________________________
                 Phone_________________________________________

                 Model:
(Check one)
                          _____ Road Cart                               _____ Buckboard
                          _____ EZ Entry Cart


                 Size of Equine
(at wither): ____________________

                 Options:
(Check all desired)
                 Wheels:

                          _____ Bolt Hub             _____ Flush Hub (add $100)
                          _____ Round Rubber   _____ Flat Rubber (add $30)


                 Dash:

                          _____ Wooden             _____ Patent Leather (add$100)


                Whip Socket:

                          _____ Wooden      _____ Steel    _____Brass (add $15)


                Upholstery:

                          _____ Smooth       _____ Diamond Tufted (add $150)
                          _____ Tuck & Roll (add $150)     Color_____________


                Back Rest:

                          _____ Fixed with Arm Rail _____Folding brackets (add $40)


                Finish:

                          _____ Varnish (with painted metalwork)
                                      Stain Color__________ Metal Color____________
                          _____ Painted (add $150) Color____________________


                Steps:
(road cart only)
                          _____ Plain                        _____ Fancy (add $20)


                Shaft tips:

                          _____ Chrome                   _____ Brass (add $10)


                Rein Rail:

                          _____ Chrome (add $150) _____ Brass (add $75)


                Pinstriping:

                          _____ One Color (add $50) _____ Two Color (add $85)


                Patent Leather accents (add $25)
_____


                Spares Compartment

                          _____ One Door (add $150) _____ Two Doors (add $200)

                                      If you have any questions, please call!!