Purchase Order Please send this invoice along with your payment and boot to: Gary Kinzler, 3110 Lazelle St Lot 300, Sturgis, SD 57785 605~720~1304 email@example.com Part of going fast is being light! All orders will be shipped through the US Postal Service ~ Priority Mail. Ship Boot To: Name ______________________________ Street Address ______________________________ City ______________________State, Zip Code ________________________ Phone Number _____________________Email _________________________ Rider’s Name __________________________Date Needed ________________ (to be stamped inside shoe) Special Instructions: (Coupons, Rider’s Number, Mailing Instructions, etc.) Qty Item Description Unit Price Line Total Total For Lightshoe Use Only: Your Signature Date Date of Contact Boot Information Call – Brand Name - Boot Received – Style - Shoe Made – Size - Boot Shipped - Serial Number - Thank you for choosing Lightshoe! We appreciate your business.