Salmon Brook Valley Order Form To order via fax, print this page, fill out the order form, and fax it to 207-455-4995. If you prefer, you may mail the order form to Salmon Brook Valley, P.O. Box 130, Caribou, ME 04736-0130. If you have questions, please call 207-455-8340. Click here to return to the Salmon Brook Valley Web site.
	100% pure organic Maine Maple Syrup White Moose Bottle    8.45 oz/250 ML   $10.00 How many bottles?  ________		100% pure organic Maine Maple Syrup Cabin Series Bottle: Drilling a Tap    8.45 oz/250 ML   $10.00 How many bottles?  ________
	100% pure organic Maine Maple Syrup Cabin Series Bottle: Tasting the Sap    8.45 oz/250 ML   $10.00 How many bottles?  ________		100% pure organic Maine Maple Syrup Cabin Series Bottle: Collecting the Sap    8.45 oz/250 ML   $10.00 How many bottles?  ________
	100% pure organic Maine Maple Syrup Cabin Series Bottle: Making Taffy on the Snow    8.45 oz/250 ML   $10.00 How many bottles?  ________		100% pure organic Maine Maple Syrup Wine Bottle    25 oz/750 ML   $15.00 How many clear bottles?  ________ How many brown bottles?  ________ How many blue bottles?  ________
	Maple Butter – individual jar    6.42 oz/190 ML   $6.75 Made with 100% pure organic Maine maple syrup and real creamery butter (salted) How many jars?  ________		Maple Butter – case of 12    Each jar contains 6.42 oz/190 ML   $78.00 Buy a full case for just $78.00. Give a truly sweet treat to 12 friends and family members. How many cases?  ________
	Maple Candy    6-piece box   $4.00 How many boxes?  ________		Maple Candy    12-piece box   $7.00 How many boxes?  ________
	Moose Pop - individual pop A maple-flavored lollipop   $1.35 How many Moose Pops?  ________		Moose Pop - box of 20 A maple-flavored lollipop   $25.00 Buy a full box of 20 for just $25.00. Great to pass out among party friends. How many boxes?  ________
	Gift Basket Each basket contains 100% pure organic Maine-made maple syrup plus some or all of the following items: maple candy, maple sugar, pancake mix. Call us at 207-455-8340 to discuss details about the basket you want. Baskets range in price from $30.00 – $40.00
CALCULATE YOUR SHIPPING COST: If the total cost for products is $6.75 or less your shipping cost is $5.20 If the total cost for products is between $6.76 and $15.00 your shipping cost is $10.95 If the total cost for products is between $15.01 and $40.00 your shipping cost is $14.95 If the total cost for products is more than $40.00 or if your shipping address is outside the U.S. we will calculate your shipping cost Products shipped to U.S. addresses are shipped via the U.S. Postal Service. Total cost for products ___________ Shipping cost* ___________ GRAND TOTAL ___________ *If your products cost more than $40.00, or if your   shipping address is outside the U.S., do not fill in   the shipping cost or the grand total. We will   calculate the shipping cost and the grand total.
PROVIDE YOUR SHIPPING INFORMATION: ___________________________________________________________________       first and last name ___________________________________________________________________       street address or P.O. Box ___________________________________________________________________       city, state, zip code/postal code ___________________________________________________________________       country PROVIDE YOUR PAYMENT INFORMATION: ______________________________________________________________       name on credit/debit card ______________________________________________________________       credit/debit card number                                      CVV (security code) ______________________________________________________________       phone number ______________________________________________________________       e-mail address If you are sending us this form via postal service instead of faxing it, you may enclose a check instead of providing credit/debit-card information.