North Country Organics- Book Orders

BOOK ORDER FORM

P.O. Box 372 ~ Bradford, Vermont 05033
Phone: (802) 222-4277 ~ Fax: (802) 222-9661

Visa    Mastercard

Please print and complete this form.  To order by mail or fax, use the addresses above. Credit card orders may also be phoned.
Name_______________________________________________________________________
Address_____________________________________________________________________
City_________________________________________State________Zip________________
Phone_______________________________Email___________________________________
Payment Method _____Check _____Visa _____Mastercard
Credit Card#_________ _________ _________ _________Expiration date______/________
Signature____________________________________________________________________
BOOK TITLE Price Quan. Total
__________________________________ $_________ _____ $_________
__________________________________ $_________ _____ $_________
__________________________________ $_________ _____ $_________
__________________________________ $_________ _____ $_________
__________________________________ $_________ _____ $_________
__________________________________ $_________ _____ $_________

SUBTOTAL

$_________

SHIPPING & HANDLING
(12% of Subtotal)

$_________
Thank you for your order!

TAX
(Orders to VT, NY, please add sales tax)

$_________

TOTAL

$_________

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