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																	 Printable Mail Order Form 
																
																
																
																
																
																
																
								
																
																We are happy to combine shipping on orders combining the different popcorn products up to 12 bags at the flat rate charge of $17.10. All orders of more than 12 bags will be charged additional shipping. 13 - 24 bags add $17.10, 25 - 36 bags add $34.20.  
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_____________               $8.95            +               $8.50         =       $17.45 
2 - 2 pound bags____________               $17.40          +               $17.10       =       $34.50 
4 - 2 pound bags____________               $34.80          +               $17.10      =       $51.90 
6 - 2 pound bags____________               $52.20           +             $17.10        =       $69.30    
8 - 2 pound bags____________               $69.60           +              $17.10       =       $86.70 
12 - 2 pound bags____________             $104.40          +             $17.10       =       $121.50 
Christmas Japanese White Hulless Popcorn 
6 - 1 pound bags____________               $32.00          +                $17.10       =       $49.10 
12 - 1 pound bags____________             $54.00          +                $17.10       =       $71.10 
  
Movie Theatre Popcorn 
1 - 2 pound bag_____________               $8.95            +               $8.50         =       $17.45 
2 - 2 pound bags____________               $17.40          +               $17.10       =       $34.50 
4 - 2 pound bags____________               $34.80          +               $17.10      =       $51.90 
6 - 2 pound bags____________               $52.20           +             $17.10        =       $69.30    
8 - 2 pound bags____________               $69.60           +              $17.10       =       $86.70 
12 - 2 pound bags____________             $104.40          +             $17.10       =       $121.50 
  
Mushroom Popcorn 
1 - 2 pound bag_____________               $8.95            +               $8.50         =       $17.45 
2 - 2 pound bags____________               $17.40          +               $17.10       =       $34.50 
4 - 2 pound bags____________               $34.80          +               $17.10      =       $51.90 
6 - 2 pound bags____________               $52.20           +             $17.10        =       $69.30    
8 - 2 pound bags____________               $69.60           +              $17.10       =       $86.70 
12 - 2 pound bags____________             $104.40          +             $17.10       =       $121.50 
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  
We are happy to combine shipping on orders combining the different popcorn products up to 12 bags at the flat rate charge of $10.95. All orders of more than 12 bags will be charged additional shipping. 13 - 24 bags add $10.95, 25 - 36 bags add $21.90. 
  
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 
  
  
  
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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