Garcia Tobacco Order Form

Quantity Blend Description Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPING
(see chart below)

 

SUBTOTAL

 

Vermont Residents Only
  ADD 6% Sales Tax

 

TOTAL

 


Name______________________________________________

Street______________________________________________

City__________________________State_____Zip____________

Method of payment:
___Check/Money Order     ___Visa     ___MasterCard     ___Amex     ___Discover

Card No._____________________________________________

Exp. Date_____________Phone No._______________________

Signature_____________________________________________



Shipping Charges

1 lb or less $5.75
2 lbs. $7.00
3 lbs. $8.50
4 lbs and up $10.00