Biothane Brow Bands Order Form

1. Complete the information below then click “Submit” to send your request to me (Leslie Raulin). 

2. Provide payment via check, PayPal, or cash (no credit cards as this is not a business):

• Check: Mail a check for the total amount, made out to Leslie Raulin, to:

                                Leslie Raulin
                                2027 Gapland Road
                                Jefferson, MD 21755     

• PayPal: Send the total amount via PayPal Friends and Family (contact me for instructions). Since this is not a commercial endeavor you must use PayPal “Friends and Family“
• Cash: If you pay at Blue Horse Farm or a show where the brow bands are displayed.  I do not have change.

I will then make your brow band, if needed, and mail it to you. 

3. If you want to see / select / design / pick up your brow band in Jefferson, MD:

• To see/select/design a brow band in Jefferson, MD: Email me at LeslieRaulin@gmail.com to set up a day/time.
• To pick up a brow band in Jefferson, MD:  I will email you to let you know the brow band is ready, then I will place your completed brow band in a blue box on the white porch on my house porch – 2027 Gapland Road, Jefferson, MD 21755.

4. If you want to see / select / pick up your brow band at a FADS @ Blue Horse Farm or a show where the brow bands are displayed, just come to the show.  Pay via check, cash (I do not have change), or PayPal Friends & Family.

5. I will send a check to the charity for the amount of your donation.  I usually send the donations on a quarterly basis.

Please complete the order form below to order a Biothane brow band.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Phone Number *

Street Address *

City, State, Zip Code *

Brow Band Type *

• 1″ Biothane + 1/4″ Leather Side Strips – Straight
• 1″ Biothane + 3/8″ Biothane Side Strips – Straight (8mm or smaller beads only)

Brow Band Size (Select One) *

• 14″ (pony)
• 15″ (cob)
• 16″ (horse)
• 17″ (warmblood)
• 18″ (draft)
• Other Size (complete box below)

Other Size (optional)

Brow Band Loop Size (see COLORS & MEASUREMENTS to determine this)

• Small (Pony, Cob)
• Medium (Standard) (Horse, Warmblood)
• Large (Double and Draft)

Biothane Color (select one) (see COLORS & MEASUREMENTS to determine this) *

• Black
• Chestnut
• Brown
• Royal Blue
• Other (complete box below) (custom order)

Other Biothane Color (optional) (see COLORS & MEASUREMENTS to determine this)

Side Strip Color (see COLORS & MEASUREMENTS to determine this) *

• Leather – Black
• Leather – Light Aqua
• Leather – Brown
• Leather – Tan
• Leather – Dark Brown (matches brown Biothane)
• Leather – White
• Biothane – Black
• Biothane – Chestnut
• Biothane – Brown
• Biothane – Royal Blue
• Biothane – Bright Pink
• Other leather or Biothane side strip color (custom order, complete box below))

Other Side Strip Color (optional) (see COLORS & MEASUREMENTS to determine this)

Snap Color (see COLORS & MEASUREMENTS to determine this)

• Black Color
• Brass Color
• Silver Color

Standard Bead Design Number (for designs on website)

Custom Bead Design (bead size, bead colors, etc.)

Charity to receive your donation (select one): *

• Frederick County 4-H Therapeutic Riding Program (https://www.fc4htrp.org/)
• Hurwitz Breast Cancer Fund (https://www.pinkribbonfrederick.org/)
• Maryland Equine Transition Service (METS) = Owner-2-Owner (https://defhr.org/owner-listings/)
• Catoctin Chapter of PVDA (http://catoctinchapterpvda.weebly.com/)

How will you pay for your brow band? (I do not take credit cards.) *

• Via check made out to Leslie Raulin. Mail to 2027 Gapland Road, MD 21755
• Via PayPal Friends & Family (email LeslieRaulin@gmail.com for instructions)
• Cash at a show or Jefferson, MD (need exact amount as I will not have change)

How do you want to receive your brow band?

• Via snail Mail ($8.50, subject to change)
• Pick up in Jefferson, MD
• Pick up at a show where the brow bands are displayed

Comment or any other information you want to include. (optional)

will you &

Your Costs (select as many as apply) *

• REQUIRED Materials Cost – $15.00
• REQUIRED Donation – $30.00
• Custom Biothane Color – $10.00
• Custom Side Strip Color – $10.00
• Additional Donation – $5.00
• Additional Donation – $10.00
• Additional Donation – $15.00
• Additional Donation – $20.00
• Additional Donation – $25.00
• Additional Donation – $30.00
• Additional Donation – $40.00
• Additional Donation – $50.00
• Postage & Handling – $8.50

Total (pay this amount)

$0.00

Submit