Please print out this page and fax the completed form to us at (978) 258-8871 (fax) or call us at (978) 685-7322 (tel) and we will help you over the phone.

Your Name
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Quantity	Product	Price	Total
	Blueberry Marmalade (9 oz.)	$5.95
	Red Pepper Jam (9 oz.)	$5.95
	Chocolate Strawberry Jam (9 oz.)	$5.95
	Peach Raspberry Jam (9 oz.)	$5.95
	Apple Pie Jam (9 oz.)	$5.95
	Small Gift Basket (two 9 oz. jars of jam, recipe card, spreader)	$17.00
	Large Gift Basket (three 9 oz. jars of jam, recipe card, spreader)	$23.00
For gift baskets, please specify here which jams you would like (2 for small and 3 for large).
Subtotal
Fedex Ground (3-5 business days)
For orders up to $15—$5.95 S&H For orders $16-30—$7.95 S&H For orders $31 and up—$9.95 S&H
Grand Total

Check or money orders only. FedEx Overnight or 2nd day available for additional costs.