<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Riley Herb CO-OP Order Form


Order Form

  • Herbs are sold at $6 by the whole pound
  • Please note that orders will be charged shipping at the going rate
  • You will be sent a bill at shipment
  • Using our program uses 5 pounds per alpaca or 10 pounds for llamas
AMOUNT: pounds
DATE NEEDED:
E-MAIL:
SOLD TO:
Farm or Business
Contact Name
Phone
Address
City
State
Zip
SHIP TO:
Contact Name
Phone
Address
City
State
Zip
COMMENTS: