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Blanket Repairs R Us

HM: (916) 645-9000

WEB SITE: www.blanketrepairsrus.com 

WORK ORDER FORM

PLEASE COPY AND PRINT THIS FORM

PLEASE PRINT YOUR INFORMATION CLEARLY

Customer’s Name: _________________________________________________________

PO Box and Street Address: __________________________________________________________________________

Ranch Name: __________________________________________________________________________

HOME Phone: ______________________Work:__________________Cell:_________________________

E-mail: _________________________________________________________

Return my Blanket to, (check one): Lincoln Hay & Feed (Lincoln) _______; Sierra Hay & Feed (Lincoln) ________; Foothill Feed & Gift (Loomis) ________; Customer Pickup at Blanket Repairs R Us home office __________; Home Delivery, (Fee may apply, ten or more blankets no fee): _________

I would like new Leg Straps ($10. each), Tail Straps ($8. each) installed:

_____Yes, If Yes, only if need_____ ; No, ____Do not change my Leg Straps

#1 Item: Brand:___________________ Color:___________________

Please circle service requesting: Wash Waterproof Anti-Fungal Soap ($5 extra) Repairs or Repair if needed

Specific Instructions:______________________________________________________________________________________________________________________________________________________________________________________________________________________________

#2 Item: Brand:___________________ Color: ________________________________

Please circle service requesting: Wash Waterproof Anti-Fungal Soap ($5 extra) Repairs or Repair if needed

Specific Instructions:_________________________________________________________________________________________________________________________________________________

#3 Item: Brand: ___________________ Color: ________________________________________

Please circle service requesting: Wash Waterproof Anti-Fungal Soap ($5 extra) Repairs or Repair if needed

Specific Instructions: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Note: Customer agrees to pickup all items promptly at any of the feed stores. After 30 days, the feed store(s) will return the customer’s items to Blanket Repairs R Us’ home office at 697 Havenwood Drive, Lincoln, Ca 95648 for your pickup. After 180 days (six months), customer’s items will become the property of Blanket Repairs R Us and sold for the cost of customer’s bill. Also a $25. service charge for all returned checks.

PLEASE PAY BY CHECK ONLY and make your check out to

“Blanket Repairs R Us”. Please sign to the above agreements, thank you:

_____________________________________________________________________________

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