PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:

THE STUDIO AT CROW HAVEN FARM
111 Mertz Road

Mertztown, PA 19539
Phone #: 610-682-9504
Fax #:
Email: thestudioatcrowhavenfarm.com

Circle Payment Method:          Check    Money Order     Visa Mastercard       

Credit Card No.

Expiration Date:

  Print Name:

  Address:

  Email:

  City:

   

  State & Zip:

   

  Telephone:

  Signature:_____________________

 

Item Name and Inventory Number

Quantity

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal:  

 

 

Shipping and Handling:  

 

 

Pennsylvania residents must add 6% sales tax-   

 

 

MAKE CHECKS PAYABLE TO: The Studio at Crow Haven Farm 

Total :

 

 

Thank you for shopping at The Studio at Crow Haven Farm.