Date __________________

Name _________________________________________________

Address _______________________________________________

Phone _________________________________

Chap description _________________________

Leather type ____________________________

Belt options:

Basket stamped ______________________ Floral carved ______________________
Figure carved ________________________ Insets____________________________

Pocket ________________________________ Conchos ___________________________

Initials or brand __________________________

Measurements with boots on (see diagram above):

1. Waist (where chap will sit) _______
2. Rise (from crotch to waist) _______
3. Upper thigh _______
4. Mid-thigh ______
5. Knee _______
6. Calf (including the top of boot) _______
7. Outseam (chinks - waist to mid-calf, chaps - waist to ground) ______
8. Inseam (chinks - crotch to mid-calf, chaps - crotch to ground) ______
Other _______________________________________________

Total estimate __________________________ Estimated due date _______________________

Deposit _______________________________ Signature/initials _________________________

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