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Printable Mail Order Form
Starving Farmer Popcorn Mail Order Form
To Print this page select the entire form, go to file, print, print selection
USPS Shipping Info:
Name:_____________________________________ Phone:________________________
Address:___________________________________ E-Mail:________________________
City & State: _________________________________ Discount Code:________________________
Zip Code: _________________________________
Japanese White Hulless Popcorn
Selection Price Plus Shipping Total
1 - 2 pound bag_____________ $6.95 + $10.85 = $17.80
2 - 2 pound bags____________ $13.50 + $10.85 = $24.35
4 - 2 pound bags____________ $26.00 + $10.85 = $36.85
6 - 2 pound bags____________ $36.00 + $10.85 = $46.85
8 - 2 pound bags____________ $44.00 + $10.85 = $54.85
12 - 2 pound bags____________ $64.00 + $10.85 = $74.85
Christmas Japanese White Hulless Popcorn
6 - 1 pound bags____________ $24.00 + $10.85 = $34.85
12 - 1 pound bags____________ $40.00 + $10.85 = $50.85
Movie Theatre Popcorn
1 - 2 pound bag_____________ $6.00 + $10.85 = $16.85
2 - 2 pound bags____________ $11.50 + $10.85 = $22.35
4 - 2 pound bags____________ $22.00 + $10.85 = $32.85
6 - 2 pound bags____________ $31.50 + $10.85 = $42.35
8 - 2 pound bags____________ $40.00 + $10.85 = $50.85
12 - 2 pound bags____________ $61.00 + $10.85 = $71.85
Mushroom Popcorn
1 - 2 pound bag_____________ $6.50 + $10.85 = $17.35
2 - 2 pound bags____________ $12.50 + $10.85 = $23.35
4 - 2 pound bags____________ $25.00 + $10.85 = $35.85
6 - 2 pound bags____________ $35.50 + $10.85 = $46.35
8 - 2 pound bags____________ $42.00 + $10.85 = $52.85
12 - 2 pound bags____________ $64.00 + $10.85 = $74.85
Total for Order--------------------------------------------------------------------------- = _____________
Send Order Form and Payment by Personal Check or Money Order To:
Greg Richardson
Starving Farmer Popcorn LLC
5587 Rd. U.5 NW
Quincy, WA 98848
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