Nistock Farms ~ Printable Order Form

Fill out all the information below ~ Click the Print Form button ~ Mail form and payment to:

Nistock Farms
10137 Mattoon Rd..
Prattsburg, NY 14873

Name
Street Address (UPS shippable, no PO Box)
Address (cont.)
City
State
Zip
Work Phone
Home Phone
E-mail

Quantity	Item Description	Subtotal
e.g.3 lb	Product name + description @ 25.00 / lb.	$75.00
Shipping Charges ($0 - $30) $9.50 ($31 - $70) $15.00 ($71 - $100) $18.00 ($101 - $199) $25.00	Merchandise Total
	Shipping:
If your actual shipping charges are more than $3 from our estimate, we will refund you the difference. Foreign orders & orders over $200, please inquire regarding shipping charges
Total for merchandise & shipping
8% Sales Tax (NY residents only)
Total Payment Included: