PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:
HomeMade Country
1600 Greenwood Dr.
 Blacksburg, Va 24060
Phone #: 843-819-6470  Email: christine@homemadecountry.com

Circle Payment Method:  (Money Order)   (Cashiers Check)   ( Credit Card Order Place by Phone )   
  No Personal (Checks)

  Print Name:
  Address:   Email:
  City:   Telephone:
  State & Zip:   Signature:_____________________
    

Item Name and Description

Quantity

Price

 1.

   
 2.    
 3.    
4.    
 5.    

 6.

   

    Subtotal: 

   

Shipping and Handling

   

Sc residents must add 6% sales tax

   
Total:
   
Shipping Cost Calculation
   

$0.00 - $20.00    ($5.99)  $21.00 - $35.00   ($7.99)

   

$36 .00 - $54.00   ($9.99) $60.01 - $78.00   ($13.99)

   

$78.01 -  up ($16.99)

   
For states in Pacific and Mountain Time, Pr, Hawaii, Guam and Alaska add $1.00 to shipping.