Print and send completed order form and a check or Money Order to:
Wright Farms Inc.
Maple Syrup
9053 Laidlaw Road
Franklinville, NY 14737-9502
| Mailing Address | |
| First Name: | __________________________________ |
| Last Name: | __________________________________ |
| Address: | __________________________________ |
| City: | __________________________________ |
| State: | ______ |
| Zip Code: | ______________ |
| Shipping Address (if different) | |
| First Name: | __________________________________ |
| Last Name: | __________________________________ |
| Address: | __________________________________ |
| City: | __________________________________ |
| State: | ______ |
| Zip Code: | ______________ |
| Maple Syrup | ||||
| Size | Grade | Quantity | Price | Total |
| Gallons (128 oz.) | ##### | ##### | ||
| Amber Color & Rich Taste | $53.00 | |||
| ##### | ##### | |||
| Half Gallons (64 oz.) | ##### | ##### | ||
| Amber Color & Rich Taste | $30.00 | |||
| ##### | ##### | |||
| Quarts (32 oz.) | ##### | ##### | ||
| Amber Color & Rich Taste | $19.00 | |||
| ##### | ##### | |||
| Pints (16 oz.) | ##### | ##### | ||
| ##### | ##### | |||
| ##### | ##### | |||
| Maple Cream | ||||
| Pound (16 oz.) | $14.00 | |||
| Half Pound (8 oz.) | $8.00 | Sub total | Shipping** | TOTAL |