Briar Hollow - Printable Order Form
Print this form for easy mail order.
Complete your order, send along with your check, money order or Credit Card info to:

Briar Hollow

225 Mindenville Drive
Fort Plain, NY  13339
Phone:  518-568-2432
Fax: 518-568-2432

QTY

ITEM NAME

PRICE

TOTALS

 

 

$

 

 

$

 

 

$

 

 

$

 

 

$

    $
    $
    $
    $

NY  Residents add 8% sales tax -                                 

Domestic/USA Orders are shipped USPS Priority or UPS Ground
Due to rising costs actual shipping rates for either UPS or USPS Priority Mail will be charged.  
Pattern orders only- free shipping via first class mail
Shipping & Handling  

International Shipping 
Please e-mail for shipping rates.

International Shipping 
(e-mail for rates)

 

TOTAL ORDER

 

CREDIT CARD INFORMATION

Name on Card -

Card Number -

Exp.date                                    CIRCLE ONE:  VISA     DISCOVER     M/C

CUSTOMER INFORMATION

Customer Name

Address

City                                                           State                      Zip Code

Home Phone #                                          Work Phone #                                               Email Address