This order form must be printed and mailed to the following address:
Mountain Products:
Burdick Road
LaGrangeville, NY 12540
Buyer:
Buyer's Name____________________________________________________
Street Address__________________________________________________
State______________ Zip Code_______ Daytime Phone____-__________
(Please include area code, and please print.)
Ship To:
Name____________________________________________________________
Street Address__________________________________________________
State______________ Zip Code_________
(Please note that UPS will not ship to a P.O. box.)
Payment By:
_____Check or _____Money Order or _____Bank Check (U.S. funds only.)
(Please note that personal checks will be held until cleared by our bank.)
PLEASE USE EXTRA SHEETS FOR LISTS OF NAMES AND ADDRESSES FOR GIFTS TO EMPLOYEES, ETC.
ITEM QUANTITY COST
________________________________ __________ $_______
________________________________ __________ $_______
________________________________ __________ $_______
________________________________ __________ $_______
________________________________ __________ $_______
(Please add up weights.) Sub-Total $_______
Shipping $_______
[ ] Gift basket, add $5 Basket? _______
for each basket
Total $_______
East of Mississippi River West of Mississippi River
4 lbs. $ 7.95 $ 9.95
7 lbs. 9.95 12.75
8 lbs. 10.75 13.75
9-14 lbs. 14.75 13.75
15-20 lbs. 19.75 24.95
21-25 lbs. 22.95 28.95
26-30 lbs. 25.95 34.95
For larger orders, please call us for shipping cost at 1(914) 223-7900 between 8AM and 10AM Eastern time on Monday, Tuesday, or Wednesday.