XC Quickie Snowshoe Binding - Order

We are not set up to accept credit card orders yet... So, we can't take your money online;) But, you can fill out this order sheet and submit your order so we can get everything ready to ship. After you have filled out this page, print it, and mail it with your check payable to Dan Baker to:

Dan Baker, 1909 Proctor Ct. , Santa Fe, NM 87505

Personal Information:
Your Name (as on credit card):
E-mail (in case of questions)
Daytime Telephone (include area code)
Shipping information:
City: State (2 letter code)Zip: Country:
Snowshoe/Binding information:
Make/Model: if not shown in list, I do not have a template in stock. You will need to order DIY materials and drill your own holes, or send snowshoes + bindings and pay for full install service and return shipping.

If not listed, enter here: 

Items to Order:
Item Quantity Description........
Plate pkg
Bindings: I only have two left, and will not stock in the future
Mounting (Type B snowshoes are a little more expensive because installation takes longer.)
Sub-total for all items ordered 
Shipping &
US only (contact me for rush or overseas)
New Mexico residents, please add 8% sales tax
Estimated Order Total (we'll check your math :) )
Comments/Questions/Special instructions: