Smalls Fruit Farm ~ Order Form

We accept Credit Cards, Checks or Money Orders
By mail and Phone orders.
Allow 7-10 days for checks to clear,
Money Order payments shipped on receipt of order.

SHIP TO:

Name __________________________________________________

Address ______________________________________Apt.#______

City _______________________State ___________Zip __________

Master Card_____________________Visa _____________________

Expiration Date _____________(mm/yyyy)

Signature________________________________________________

For Office use Only

Rec:________________
Amount:_____________
Shipped:_____________

Name of Product	Quantity	S/H	Each	Total







Sub-Total

Total Order