PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:

Kittredge Mercantile
Po Box 64
Kittredge, Colorado
United States  80457
Phone #: 303-674-1356
Fax #:
Email: kmercantile@qwestoffice.net

Circle Payment Method:          Check    Money Order    VISA    MasterCard    Discover    AmericanExpress

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  City:   Credit Card Number:
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Item Name and Description

Quantity

Price
     
     
     
     
     
     
     
     
     
     
     
     
     
 
    

Subtotal:  

    

Shipping and Handling:  

    
Colorado residents must add 4.63% sales tax-   
    

MAKE CHECKS PAYABLE TO: Kittredge Mercantile  

Total :

 


Thank you for shopping at Kittredge Mercantile.