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Stonyfield Farm "Moo-Chandise"
By Mail.
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| Item Name |
Size
|
Color
|
Quantity |
Price
|
Total Amount |
| _________________ | ____ | _____ | _____ | $________ | $________ |
| _________________ | ____ |
_____
|
_____ | $________ | $________ |
| _________________ | ____ |
_____
|
_____ | $________ | $________ |
| _________________ | ____ | _____ | _____ | $________ | $________ |
|
|
$________ |
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Shipping and Handling
up to $25.00 add $4.00 $25.01-$40.00 add $5.00 $40.01-$60.00 add $6.00 $60.01-$80.00 add $7.00 $80.01-$100.00 add $8.00 $100.01-$150.00 add $10.00 $150.01-$200.00 add $12.00 over $200 add $15.00 |
|
TOTAL |
$________ |
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| SOLD TO: | |||||
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Method of Payment
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______ Check or Money Order (Payable
to "Stonyfield Farm" )
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______VISA
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______Master Card
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Credit Card #
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__________________________________________ | ||||
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Expiration Date
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_______________________ | ||||
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Name:
|
__________________________________________ | ||||
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Address:
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__________________________________________ | ||||
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City:
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__________________________________________ | ||||
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State:
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__________________________________________ | ||||
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Zip Code:
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_________________________ | ||||
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Day Time Phone Number:
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_________________________ | ||||
| SHIP TO: (if different from sold to) |
|||||
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Name:
|
__________________________________________ | ||||
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Address:
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__________________________________________ | ||||
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City:
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__________________________________________ | ||||
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State:
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__________________________________________ | ||||
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Zip Code:
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_________________________ | ||||