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 

   
Shipping Cost Calculation
   

$0.00 - $22.99    ($6.99)

   
$23.00 - $40.00    ($8.99)    

$ 40.01 - $60.00   ($10.99)

   
$60.01 - $78.00   ($13.99)

 

 

$78.01 -  up        ($16.99)