Order Form
| Description | Price ea |
Quantity |
Total (price x quantity) |
| Buckwheat Hulls - 2 pounds | $5.99 | ||
| Buckwheat Hulls - 10 pounds | $21.99 | ||
| Buckwheat Hulls - 18 pounds | $38.99 | ||
| Buckwheat Groats - 2 pounds | $5.99 | ||
| Buckwheat Groats - 10 pounds | $21.99 | ||
| Whole Buckwheat Seeds - 2 pounds | $5.99 | ||
| Whole Buckwheat Seeds - 10 pounds | $21.99 | ||
|
FedEx UPS or USPS (circle one) Shipping Charges |
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TOTAL Enclosed (check or money order) |
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FOR SHIPPING CHARGES, ADD ITEMS TO CART AND USE THE CALCULATOR ON THE WEBSITE OR EMAIL JACKIE@BUCKWHEATHULL.COM OR PHONE 919.677.9153: PLEASE INCLUDE YOUR ZIP CODE AND ORDER AMOUNT
Please send my order to:
Name: ____________________________________________________________
Address: ____________________________________________________________
City, State, Zip: _____________________________________________________
Phone: _______________________________________________________
E-mail: ____________________________________________________________
Please send check or money order to:
Jackie Holcombe
124 Kalvesta Dr
Morrisville, NC 27560-5901
THANKS!