Order Form

Lopez Island Farm Products
Online Ordering

To order:
Indicate in the quantity box how many of each product you wish to order and fill out the billing and shipping information. Then submit your order by clicking on the submit button at the bottom of the form. Please ensure that your e-mail address is correct as we will use it to confirm your order.
If you do not wish to transmit your credit card information you may call us or print this form and mail it with payment by check.

Specialty Apple Products
Item	Size	Price	Quantity
Raspberry Syrup	8.5 fl oz	$4.50
Marionberry Syrup	8.5 fl oz	$4.50
Apple Cider Syrup	8.5 fl oz	$4.50
Apple Chutney	9 oz	$4.50
Apple Peach Chutney	9 oz	$4.50
Apple Curry Sauce	13 oz	$4.50
Marionberry Chipotle Sauce	13 oz	$4.50

Critter Spreads Northwest Slug Butter
Apple Raisin Walnut	5 oz	$4.50
Pear Brandy	5 oz	$4.50
Peach Orange	5 oz	$4.50
Apple Raisin Walnut	1.5 oz	$3.00
Pear Brandy	1.5 oz	$3.00
Peach Orange	1.5 oz	$3.00

Shipping and Handling We regularly ship UPS ground and Priority Mail. Next day service is not guaranteed from our location and consequently we feel the extra cost is not warranted. For shipping outside the USA or special needs please contact us and we will make it work for you Special Shipping Instructions To determine your shipping cost refer to the table below.
Value of Order	Standard Shipping to USA Address
Up to $25.00	$8.50
$25.01 - $50.00	$11.50
$50.01 - $75.00	$13.50
$75.01 - $100.00	$15.50
Over $100.00	$17.00

Billing Information			Shipping Information (Leave blank if same as billing)
Name			Name
Address			Address
City			City
State			State
Zip			Zip
E-mail
Credit Card VISA MASTERCARD Card Number Expires Name on Card