ORDER FORM

Send or Fax this Order Form to:
Olive Knot Products
4750 Hall Road
Corning, CA 96021
(530) 824-5280 - 824-1914 (fax)

Date:_________________________________________________

Name:________________________________________________

Address:______________________________________________

City/State/Zip:_________________________________________

Phone:_______________________________________________

E-mail:_______________________________________________


ITEM/DESCRIPTION                                                                         PRICE
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TOTAL FOR GOODS:___________________________________

(CA Residents Only) SALES TAX (7.25%):__________________

TOTAL:_______________________________________________

NOTE: Shipping and Insurance will be added.

TERMS: Money Order, Cashier's Check, Credit Card
Personal Check (allow 10 days for bank clearance)
Please make check or money order payable to: Olive Knot Products

MasterCard Account No.:________________________________________________

Visa Card Account No.:__________________________________________________

Expiration Date:________________________________________________________

Cardholder Name:______________________________________________________

Cardholder Signature____________________________________________________