Order Form

Prices include S & H and are subject to change without notice

PRICE

QTY.

SUB-TOTAL

Buck Forage Oats - 50 Lb. Bag (1-9 Bags)

$48.00

X

Buck Forage Oats - 50 Lb. Bag (10 + Bags)

$38.00**

X

Buck Forage Chicory - 5 Lb. Bag

$49.00

X

TOTAL PRICE

Name

Shipping Address

City and State

Zip Code

Credit Card #:

Phone

Expiration Date

Check or Money Order

We Gladly accept VISA or Master Card.
**Please Include $42 for Residential Delivery of 10 or more 50 Lb. bags
Please Check One: Business Residential

Please print this page, and mail or fax to the address below.

Buck Forage Products P.O. Box 43 Stuttgart, Arkansas 72160
Phone: 1-800-299-6287 or 870-673-2706 Fax: 870-673-2468
Email: buckforage@centurytel.net

Prices include S & H and are subject to change without notice	PRICE		QTY.	SUB-TOTAL
Buck Forage Oats - 50 Lb. Bag (1-9 Bags)	$48.00	X
Buck Forage Oats - 50 Lb. Bag (10 + Bags)	$38.00**	X
Buck Forage Chicory - 5 Lb. Bag	$49.00	X
TOTAL PRICE

Name
Shipping Address
City and State		Zip Code
Credit Card #:		Phone
Expiration Date		Check or Money Order