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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
Shipping Info:
Name:___________________________________
Address:_________________________________
_________________________________
_________________________________
Check Quantity Price Shipping Total
1 - 2 pound bag_____________ $6.95 $9.80 _____________
2 - 2 pound bags____________ $13.00 $9.80
4 - 2 pound bags____________ $24.00 $9.80 _____________
6 - 2 pound bags____________ $33.00 $9.80 _____________
8 - 2 pound bags____________ $40.00 $9.80 _____________
12 - 2 pound bags____________ $54.00 $9.80 _____________
Send Order Form and Payment by Personal Check or Money Order To:
Starving Farmer Popcorn
5587 Rd. U.5 NW
Quincy, WA 98848
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