| Fax to: 609-924-8569 |
|
|
| Name: _________________________ |
|
Phone:
_______________________ |
| *Cred Crd #: ____________________ |
|
Expiration: _________CVV________ |
| Street Address: ________________________ (Req'd) |
|
Zip Code: _______________ (Req'd) |
| * we accept MasterCard, Visa, Discover - Preferred Ship Date ________________ |
| Unless noted, all gift boxes can be shipped or picked up at the Farm Store |
Apple Box
|
11 lbs |
$25.00 |
________ |
Medium Sampler Box
|
8 lbs |
$25.00 |
________ |
| Large Sampler Box |
10 lbs. |
$45.00 |
________ |
| Medium Taste of New Jersey |
7 lbs |
$30.00 |
________ |
| Large Taste of New Jersey |
11 lbs |
$50.00 |
________ |
| Farm Pantry Box |
7 lbs |
$25.00 |
________ |
| Gallon of Cider** |
10 lbs. |
$12.00 |
________ |
| Donuts (2 doz)** |
4 lbs |
$16.00 |
________ |
Gingerbread House:
Available December
only |
4 lbs |
$58.00 |
________ |
| **Expedited Shipping recommended; only available for shipping |
| Shipping |
_____________ |
| Total |
_____________ |
| Ship to: |
|
Message: |
| _______________________________ |
|
_______________________________ |
| _______________________________ |
|
_______________________________ |
| _______________________________ |
|
_______________________________ |
| _______________________________ |
|
_______________________________ |
| Phone # ______________________ |
|
|
