www.SandMountainHerbs.com
MAIL-IN ORDER FORM

Sand Mountain Herbs c/o Larry Chandler 321 Co. Rd. 18 Fyffe, AL  35971
Check Or Money Order

Your Name___________________________________________________________________________________

Your Street Address (NOT PO Box # if by Credit Card):_____________________________________________________

           ______________________________________________________________________________________________

City, State and Zip_____________________________________________________________________________

Your Daytime Phone No._____________________________________ 

Email Address: ______________________________________ ADD TO OUR EMAILING LIST?  __Y __N  

Item #

Name of Item

Quantity

Price Ea.

Total Price

1.        
2.        
3.        
4.        
5.        
6.        
7.        
8.        
9.        
10.        
11.        
12.        
13.        
14.        
15.        

SubTotal From Above  

  --- >  

$  

Add $2.50 Shipping & Handling   

  --- >   $ 2.50  

Ship To International? (Outside U.S.) ADD

 --- > $ 3.50

Total Charge   

 --- >   $  


MAIL CHECK or MONEY ORDER TO:
 

Sand Mountain Herbs.com
   c/o Larry Chandler
321 County Road 18
Fyffe, AL  35971 

* Every order over $10 receives Free Packet of Red's Cock's Comb By Checking Here _____ 

Copyright Sand Mountain Herbs.com                *Need A Website?    , Larry Chandler's son, who designed this site, for more information.