PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:
HomeMade Country 228 Mellow Ridge Rd
Dorchester, SC USA 29437
Phone #: 843-819-6470 Fax #: 843-462-2600
Email:
christine@homemadecountry.com
Circle Payment Method:
(Checks will have up to a 15 day clearance before order is even processed.
All return checks are subjected to a $25.00 extra fee
(Money Order) (Cashiers Check) ( Credit Card Order Place by Phone ) (Checks)
Print Name:
Address:
Email:
City:
Telephone:
State & Zip:
Signature:_____________________
Item Name and Description
Quantity
Price
1.
2.
3.
4.
5.
6.
7.
Subtotal:
Shipping and Handling
Sc residents must add 6% sales tax
Total:
If this is not received, your order will not be processed Thank you