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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