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Pappy's Sassafras & Green Tea Order Form

Now accepting credit cards!

      

Now accepting credit cards!

Please print out this form and send with a check for the total amount of your order
or you can pay by credit card by calling one of the numbers at the bottom of this page.
We will ship the same day we receive your request.

Please provide physical delivery address for UPS delivery (no P.O. Boxes please).

Shipping Rates apply to continental United States only!
Please call 419-659-5110 for shipping/orders outside continental U.S.

Name:___________________________________________________
Billing Address: ___________________________________________________
Billing City: ___________________________________________________
Billing State: _____________________ Billing Zip Code: _______________
  
Delivery Address: ___________________________________________________
Delivery City: ___________________________________________________
Delivery State: _____________________ Delivery Zip Code: _____________
  
Phone:(__________)_______________________________________
Email Address:___________________________________________________
(For Future Specials Only)

PLEASE CIRCLE YOUR CHOICE BELOW.
(SASSAFRAS & GREEN TEA ARE THE SAME LOW PRICE)

SASSAFRAS TEA

GREEN TEA
12 oz Bottles Prices
Product Tea 12 oz Price Shipping Quantity Total Price
3 - Pack $9.10 $9.89

X

$

6 - Pack

$13.80

 $12.19

X

$

12 - Pack

$23.40

 $13.59

X

$

 

VARIETY PACKS
Pack Size Price Shipping Quantity Total Price
3-Packs        
2 Sassafras Tea/1 Jar of Sassafras Jelly $10.10 $9.89 X $
2 Green Tea/1 Jar of Sassafras Jelly $10.10 $9.89 X $
6-Packs        
3 Sassafras Tea/3 Green Tea $13.80 $12.19 X $
5 Sassafras Tea/1 Jar of Sassafras Jelly $14.80 $12.19 X $
5 Green Tea/1 Jar of Sassafras Jelly $14.80 $12.19 X $
12-Packs        
6 Sassafras Tea/6 Green Tea $23.40 $13.59 X $
11 Sassafras Tea/1 Jar of Sassafras Jelly $24.40 $13.59 X $
11 Green Tea/1 Jar of Sassafras Jelly $24.40 $13.59 X $
12-oz. Bottles of Sassafras/Green Tea / 8-oz. Jar of Sassafras Jelly



* Please remember to include the Shipping fees into your Grand Total below*
The shipping charges are above in each table.

Grand Total:_________________________________

Thank you for your order!
Check: _____ Visa _____ Mastercard _____
Credit Card #_________________________________Expiration Date__________



Send To: 

H&K Products, Inc. 
10246 Rd P
Columbus Grove, Ohio 45830

For Customer Service
or to pay by Credit Card,  please call:
(419) 659-5110, or Toll-Free (877) 659-5110
Or Email us at: pappy@q1.net
**Note: For your own security, DO NOT email credit card info to us.

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