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
e.g.3 lb
   Product name + description @ 25.00 / lb.
  $75.00
Shipping Charges
($0 - $30)
$7.00
($31 - $70)
$15.00
($71 - $100)
$18.00
($101 - $199)
$25.00
Merchandise Total
Shipping:
If your actual shipping charges are more than $3 from our estimate,
we will refund you the difference.

Foreign orders & orders over $200, please inquire regarding shipping charges
Total for merchandise & shipping
8% Sales Tax (NY residents only)
Total Payment Included: