Jed's Maple Products Order Form
| Ordered by: |
| Street*: |
City: |
| State: |
Zip: |
Country: |
| Phone: |
Email: |
| ORDER #1 |
| To: |
| Street*: |
City: |
| State: |
Zip: |
Country: |
Gift Message:
|
| Catalog |
Qty |
Description |
Total |
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| Order #1 Sub-Total |
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| Order #1 Shipping |
|
| Order #1 Total |
|
| Order Subtotal |
Shipping
USA East |
Shipping
USA West |
| $0.01 - $30.00 |
$11.00 |
$14.00 |
| $30.01 - $60.00 |
$14.00 |
$17.00 |
| $60.01 - $90.00 |
$20.00 |
$25.00 |
| $90.01 - $150.00 |
$26.00 |
$36.00 |
NOTE: Shipping price is based on the Order Subtotal
and whether it is being shipped East or West of the Mississippi River.
Card#:
Expiration:
3-Digit (on back of card, last 3 of 7 digits):
Signature:
| Order #1 Total |
|
| Order #2 Total |
|
| Other Totals |
|
| Grand Total |
|
*UPS does not ship to a P.O. Box. Please use a street number.
Contact us for next day/2nd day shipping.
Include additional orders on back or attach sheet.
Questions? Call us at (866) 478-7388 or email at wheeler@jedsmaple.com.
Mail order form to: Jed's Maple Products, 259 Derby Pond Road, Derby, VT 05829