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