Order Form

 Home ] Retail Locations ] [ Order Form ] Fair Schedule ] Contact us ] The Maine Assortment ]

Order Form

Please print, fill out, and mail this page with your payment to place your order

 

 

Name (please Print)____________________________

 

Street ________________________________________

                (UPS cannot deliver to a Post Office Box)

 

City __________________State________Zip_________

 

Telephone (daytime)___________________________

          We will only call if we have a question about your order)

 

Ship to:

 

Name (please Print)____________________________

 

treet ________________________________________

          (UPS cannot deliver to a Post Office Box)

 

City __________________State________Zip_________

 

Gift card?  Yes ____ No ____

If yes, how would you like the card to read?

______________________________________________

 

To:__________________ From: ___________________

         

QTY

Size

Item Description

 

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total

Shipping & Handling:

                4 Jar - $10.00

                2 Jar - $7.50

 

 

Shipping

Total

 

 

 

Make Checks payable to:

Gay K Lakin

5 Ox Point Drive,

Kittery, ME 03904