Ordered by:                              Deliver to:(if different from ordered by)
Name:                                    Name:     
Address:                                 Address:                                                   
City:                                    City:     
State:                                   State:    
Zip Code:                                Zip Code: 
Country:                                 Country:  
Home Phone:    
Work Phone:    
Fax:            
E-Mail Address:                                                                              
  
    Item #       Item Description         Price      Quantity      Total

    ______      ___________________      _______  x  ________  =  _______
    ______      ___________________      _______  x  ________  =  _______
    ______      ___________________      _______  x  ________  =  _______ 
    ______      ___________________      _______  x  ________  =  _______
    ______      ___________________      _______  x  ________  =  _______
    ______      ___________________      _______  x  ________  =  _______
    ______      ___________________      _______  x  ________  =  _______
    ______      ___________________      _______  x  ________  =  _______
    
                                           Total for Merchandise  _______
                           New Jersey Residents add 6% Sales Tax  _______  
                                                       Shipping*  _______ 
    	                                             Total Order  _______
                                           (Payable In US Funds)  
US SHIPPING Charges 
Up to $20.00  -     $5.25      
$20.01 to $40 -     $6.95 *Do not include Flint River Ranch proudcts in shipping total.
$40.01 to $60 -     $7.95        
$60.01 to $80 -     $9.95  
$80.01 to 100 -     $10.95
$100.01 to $150 -   $13.95
$150.01 & up  -     $15.95 
Shipments to Canada add an additional $4.00 US to the above shipping charges. 

We gladly accept Visa, MasterCard, Money Orders and Personal Checks
(Personal checks must clear before shipping. Allow 7 business days.)

Type of Card: ____________________     
Name on Card: ____________________      
Card Number:  ____________________      
Exp. Date:    __________ Signature_______________________________________        

 Back to Home Page