Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Prindle Mountain Primitives 712 Miller Road Washougal, WA United States 98671 Phone #: 360-837-3874 Fax #: Email: prindlemountainprimitives@msn.com
Circle Payment Method: Check Money Order
Print Name:
Address:	Email:
City:
State & Zip:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
WA residents must add 9.0% sales tax-
MAKE CHECKS PAYABLE TO: Laurie Johnson	Total :

Thank you for shopping at Prindle Mountain Primitives.