Friendship Farms
Natural Farm and Bakery

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Order Form
Please print this form, fill it out, and mail it to:
Friendship Farms
PO Box 505
Pleasant Unity, PA  15676
OR 
Call (724) 423 - 8727 for local calls or (866) 424-8727 for long distance.
Please have your credit card ready.

Bill To:

 Ship To: (if different than billing address)

Name:  _______________________________________
Street Address: _________________________________
City: _________________________________________
State: ________________________________
Zip Code: _______________
Daytime Phone: (    )________________________

 Name:  ________________________________________
Street Address: __________________________________
City: ___________________________________________
State: _________________________________
Zip Code: _______________
Daytime Phone: (    )__________________________
Item Quantity Price/Item Total Price
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
Subtotal  
Shipping           (call for pricing)
Total
Method of Payment:
__  Check made payable to:  Friendship Farms
__  Visa     __  Mastercard
Card Number:  _____________________________
Expires:  Month:________     Year:________
_________________________________________
Signature (required on all credit card orders)

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