Order Form

Please provide the following ordering information:

First name	Last name
Organization
Street address
Address (cont.)
City
State/Province	Zip/Postal code
Country
Phone	E-mail
Payment Type	Pull down to select Pull Down Here Credit Card I will Send a Check   If you send a check we will not ship until we receive the check
For Credit Card	When should we call you? Pull Down Here 8:00 AM to Noon My Time 12 Noon to 4 pm My Time 4pm to 7pm my time after 7 pm my time
Please Describe	Yourself: Pull Down Here School - classroom use Longaberger Consultant Longaberger Branch Advisor Bee Keeper or Natural Bee Products Church Other
Any Comments or Instructions?

1
2
3
4
5

See shipping chart at bottom of this page.  For UPS, FEDEX or other special shipping we will charge actual cost when we process your order

                                                                                                                                  SubTotal   

                                                                     Virgina Residents add 5% Sales Tax on SubTotal   

                         Shipping Type Please Select One      USPS Priority Mail USPS Parcel Post UPS Ground Special Shipping - see note Ship Cost 

                                                                                                                      ORDER TOTAL 

	SHIPPING (if different from customer info)
Street address
Address (cont.)
City
State/Province
Zip/Postal code