Mail Order Form
Farmer Steve's Popcorn
Amwell Valley Organic Grains
PO Box 411
Ringoes, NJ 08551

Your Name & Address:          Ship To:                                Date of Order:
________________            _________________          ___________
________________            _________________
________________            _________________          Email Address:
________________            _________________          __________________________

Via Mail Order -

Each "Trial Pack" Contains 2 Boxes, Each Box Contains 3 Microwave Ready Packages
Number of "Trial Packs"  ________   X   $16.81 U.S. Each    = Temp Out of Stock

Each "Snack Pack" Contains 5 Boxes, Each Box Contains 3 Microwave Ready Packages
Number of "Snack Packs"  ________   X $26.19 U.S. Each  = Temp Out of Stock

Each "Case" Contains 12 Boxes, Each Box Contains 3 Microwave Ready Packages
Number of Cases  ________   X  $50.98 U.S. Per Case       = Temp Out of Stock

New - Save Trees - Save Money - Reduce Waste:
Each "Enviro Case" Contains 51 Microwave Ready Packages Without the Boxes
Number of Enviro Cases  ________   X $64.97 U.S. Per Case = __________
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2-pound bags of Farmer Steve's Super Pop popcorn for old-fashioned popping.
One 2-pound bag "Trial Pack"  X $ 10.99 U.S. Each             = __________
Six 2-pound bags "Six Pack"  X  $40.99 U.S. Each                = __________
..................................................................................................................................
Shipping & Handling:   Above prices include free shipping to anywhere in the United
States, including Alaska and Hawaii for Trial Packs and Snack Packs. Cases are
shipped UPS Ground and cannot be shipped to Alaska or Hawaii. We only ship within the United States.

                                                           Total Order Cost .... = ___________

Print this Order Form, Fill it in, and Mail it With Your Check or Money Order
Payable to: Amwell Valley Organic Grains

Mail To: Amwell Valley Organic Grains
             PO Box 411
             Ringoes, NJ 08551 USA

All orders are usually shipped within two business days of receipt.  Trial, Snack, and Six
Packs are shipped USPS Priority Mail and should be received within 4 days of order.
Cases are shipped UPS Ground, or Parcel Post and take 3-6 days depending on your location.

At this time, we do not accept credit cards via mail order, and we do not accept checks
from outside the United States.  To order via credit card, see our Order Info page.

To provide customer feedback, see our web page.

All mailing and email addresses are kept strictly confidential for Farmer Steve's use only.