Nistock Farms
Printable Order Form

Fill out all the information below.

Click the Print Form button.

Mail form and payment to:

Nistock Farms
10137 Mattoon Rd..
Prattsburg, NY 14873

Name
Street Address (UPS shippable, no PO Box)
Address (cont.)
City
State
Zip
Work Phone
Home Phone
E-mail

	Quantity	Item Description	Subtotal
example	3 lb	Product name + description @ 25.00 / lb.	$75.00
		Merchandise Total
		Shipping: ($0 - $50) $7.00 ($51 - $100) $12.00 ($101 - $150) $15.00 ($151 - $199) $18.00
		Foreign orders and orders $200 and above - please inquire regarding shipping charges
		Total for merchandise and shipping
		8% Sales Tax (NY residents only)
		Total Payment Included: