Mail Order Form

If you would prefer to order through the mail, rather 
than over the internet, just print this form out, fill it in
and mail it, along with your check to Appalachian Kettle Korn.
 
			APPALACHIAN KETTLE KORN
				PO BOX 250
			PORT ROYAL, VA 22535-0250

Your Name:  ______________________________________________________

Address (1):  ____________________________________________________

Address (2): _____________________________________________________
 
City: ___________________________________________________________

State: ___________________       Zip Code: ______________

E-mail address:  _________________________________________________

Phone number (Area code):  (_____) _______________________________

(We will use your email address and phone number only to 
	notify you of the status of your order.)

					PLEASE PRINT
Please ship:
   8-packs     8 large bags (our very best buy!)     ______  @ $ 35.00 each =  ________ 

   6-packs     6 large bags (lots of corn - low price)_____  @ $ 28.00 each =  ________   

   4-packs     4 large bags (our most polular item)  ______  @ $ 21.00 each =  ________

   Twin-pack   2 large bags (a good compromise)      ______  @ $ 12.75 each =  ________

   Single bags.1 large bag  (the economical choice)  ______ @  $  9.75 each =  ________

   Remember, we pay shipping and handling.              Total price     $  ____________

If you want the popcorn shipped to a different address, please fill in this section

Name: _____________________________________________________________

Address (1): ______________________________________________________

Address (2): ______________________________________________________

City: _____________________________________________________________

State: ___________________       Zip Code: _______________

Personal message for the recipient: _______________________________

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