| Ordered
by: Name: _____________________________ Address: ___________________________ __________________________________ City: _________________ State: ______ Zip: __________ Phone #_____________ E-Mail: ____________________________ |
Shipped
to: (If different from Ordered by) Name: _____________________________ Address: ___________________________ __________________________________ City: _________________ State: ______ Zip: __________ |
| Item | Price | Qty. | Total |
| Bountiful Blueberry Jam 9 oz. | $6.50 | ||
| Rapturous Rhubarb Jam 9 oz. | $6.50 | ||
| Ravishing Raspberry Jam 9 oz. | $6.50 | ||
| Bodacious Blackberry Jam 9 oz. | $6.50 | ||
| Luscious ChokeCherry Jam 9 oz. | $8.50 | ||
| Hot Chile Berry Jam 9 oz. | $6.50 | ||
| Hot Raspberry Jalepeno Jam 9 oz. | $6.50 | ||
| Sassy Strawberry Jam 9 oz. | $6.50 | ||
| Write unlisted items below | Price | ||
| Sales Tax: New Mexico only- 6.0625%
Shipping Rates: (Contiguous US) |
Subtotal | ||
| 6 jars ($12.00) each additional jar ($2.00) | Shipping | ||
| Over $60.00-Please call | Total |