Order Form--Use only if paying by Money Order

For Credit/Debit or Bank Transfers, Please use the CHECKOUT link at the bottom of this page.


Please include a copy of the following form with a money order payable to:

PugRidge Place

47 Altamont Road,

Swanton, Maryland 21561                                                                                                 

 

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Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
   

Please provide the following product information:

Goat Milk Lotion

Goat Milk Soap

 4 ounces @ $6.00
USPS Priority Shipping

 

Up to 2 pounds ADD $6.00

2-70 pounds   ADD $8.00 

Fragrances: Baby Powder, Christmas splendor, Coconut, Lavender, Natural, Rose, and Vanilla Crunch

Please provide the following ordering information (Size and Fragrance):

QTY DESCRIPTION

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

CheckOut

 

Copyright © 2005 [PugRidgePlace]. All rights reserved.
Revised: 12/25/05