K. C. Miles Leatherworks

Please complete and submit this order form using the submit button at the bottom of the form.

You may also phone or e-mail us with your custom leather needs or complete and print this order form and mail or fax it to:

K. C. Miles Leatherworks

P.O. Box 266

Home

Kimball, MN 55353

Phone: (320) 398-2708

Fax: (320) 398-2706

E-mail: KCMILESLEATHER@AOL.COM

BILLING AND SHIPPING INFORMATION:

Billing Address:

Name Date

Address

City

State Zip

Shipping Address (if different than above):

Address

City

State Zip

Phone (Home)

Phone (Work)

E-Mail

BUCKSKIN SHIRTS & JACKETS :

Leather Color
Shirt Style
Cody Elkskin Jacket
Options:
Additional Patch Pockets: Verify left, right or both
4"Fringed Bottom
Longhunter Cape

Note: All measurements should be taken using a seamstress (cloth) tape measure. All clothing is custom made to your measurements. We will not be responsible for your measurements.

		(A) Chest Dimension
		(B to C) Sleeve Length
		(D) Midriff Dimension
		(E to F) Length
		Height
		Weight
		Regular
		Stout
		Long/Tall

Quantity	Description			Unit Price	Total












Shipping and Handling Charges			Total Merchandise
U.P.S. Ground or U.S. Mail			Shipping and Handling
Continental United States Only
$ 75.00 to $ 99.99		$10.00	MN Residents -
$100.00 to $199.99		$12.00	Add 6.5% Sales Tax
$200.00 to $349.99		$15.00
$350.00 to $500.00		$17.00	TOTAL