Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: ~BACK PORCH PICKINS~Tonya Turvold 26795 820th Ave. Hollandale, MN United States 56045 Phone #: 507-256-8060 Fax #: 507-256-8060 Email: dandtturvold@deskmedia.com
Circle Payment Method: Check Money Order
Print Name:
Address:	Email:
City:
State & Zip:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
MN residents must add 7.5% sales tax-
MAKE CHECKS PAYABLE TO: ~BACK PORCH PICKINS~Tonya Turvold	Total :

Thank you for shopping at ~BACK PORCH PICKINS~Tonya Turvold.