Please Print this out and mail to:  Fir Meadow LLC,  PO Box 1089,  Gold Hill, OR 97525
www.firmeadowllc.com for current product pricing.

Billing name and address:                                US MAIL shipping adress:

Name_____________________________      Name_______________________________

Address___________________________       Address_____________________________

City, State, Zip______________________      City, State, Zip________________________ 

Province,Country____________________       Province, Country_____________________

Email: ____________________________
 

Amount   Size   Item                                                              cost each   total cost_

                                                                                                                       

                                                                                                                       

                                                                                                                       

                                                                                                                       

                                                                                                                        

                                                                                                                        

                                                                                                                        

                                                                                                                        

                                                                                                                        

                                                                                                                        

Shipping & Handling US:  7.05 to 2 lbs,  13.60 to 8 lbs, 18.00 to 12 lbs______________  

Contact us for international shipping rates or see our shopping cart website

Your order total                                                                                                    

Payment by:

Check Number in US Dollars _______    Amount__________  Checks may be held for clearing

Credit card:  Master card or Visa ONLY_____________ billing information above to match card

Card number:____________________  Expiration Date:_____________ Code on back:_____

Amount to charge on card:___________Signature of card holder:_______________________

Thank-you and may our Father in Heaven bless you abundantly!