Holiday Order Form .pdf

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Holiday Order
Guide & Form
Specializing in the hand crafting of all natural
Pickled and Brined Goods, Lip Balms,
Hard Ciders and Kombucha

Holiday Order
Guide & Form
Specializing in the hand crafting of all natural
Pickled and Brined Goods, Lip Balms,
Hard Ciders and Kombucha

Holiday Order
Guide & Form
Specializing in the hand crafting of all natural
Pickled and Brined Goods, Lip Balms,
Hard Ciders and Kombucha

Web/Email/Call to place
your order!

Web/Email/Call to place
your order!

Web/Email/Call to place
your order!

971.322.4954 / 503.381.4420
www.brewsbrinesbalms.com
brewsbrinesbalms@gmail.com

971.322.4954 / 503.381.4420
www.brewsbrinesbalms.com
brewsbrinesbalms@gmail.com

971.322.4954 / 503.381.4420
www.brewsbrinesbalms.com
brewsbrinesbalms@gmail.com

November 2017

November 2017

November 2017

Order Form

Order Form

please indicate quantity in space provided

please indicate quantity in space provided

Order Form

please indicate quantity in space provided

Ala Carte:

Ala Carte:

Ala Carte:

16oz Jar Pickle ___ $5.99

16oz Jar Pickle ___ $5.99

16oz Jar Pickle ___ $5.99

32oz Jar Pickle ___ $7.99

32oz Jar Pickle ___ $7.99

32oz Jar Pickle ___ $7.99

Lip Balm ___ $3.49 makes great stocking stuffer!

Lip Balm ___ $3.49 makes great stocking stuffer!

Lip Balm ___ $3.49 makes great stocking stuffer!

Gift Baskets:

Gift Baskets:

Gift Baskets:

Mini Basket ___ $12.99

Mini Basket ___ $12.99

Mini Basket ___ $12.99

(one lip balm, one 16oz jar pickle)

(one lip balm, one 16oz jar pickle)

(one lip balm, one 16oz jar pickle)

Small Basket ___ $14.99

Small Basket ___ $14.99

Small Basket ___ $14.99

(one lip balm, one 32oz jar pickle)

(one lip balm, one 32oz jar pickle)

(one lip balm, one 32oz jar pickle)

Medium Basket ___ $25.99

Medium Basket ___ $25.99

Medium Basket ___ $25.99

(two lip balm, two 32oz jar pickle)

(two lip balm, two 32oz jar pickle)

(two lip balm, two 32oz jar pickle)

Choose Pickle:

Choose Pickle:

Choose Pickle:

(please indicate quantity of selections below)

(please indicate quantity of selections below)

(please indicate quantity of selections below)

___ spicy only
* Red Quarters (onions) ___ mild/med/spicy
* Twisted Mix
___ mild/med/spicy

___ spicy only
* Red Quarters (onions) ___ mild/med/spicy
* Twisted Mix
___ mild/med/spicy

* Spicy Garlic Wholes

___ spicy only
* Red Quarters (onions) ___ mild/med/spicy
* Twisted Mix
___ mild/med/spicy

* Spicy Garlic Wholes

(broccoli, cauliflower, carrots)

* Spicy Garlic Wholes

(broccoli, cauliflower, carrots)

___ spicy only
___ mild/med/spicy
* Lil’ Sausages ___ add $2.00 spicy only
* Mean Beans ___ add $1.00 mild/med/spicy

___ spicy only
___ mild/med/spicy
* Lil’ Sausages ___ add $2.00 spicy only
* Mean Beans ___ add $1.00 mild/med/spicy

(broccoli, cauliflower, carrots)

___ spicy only
___ mild/med/spicy
* Lil’ Sausages ___ add $2.00 spicy only
* Mean Beans ___ add $1.00 mild/med/spicy

* Chips Off The Ol’ Cucumber

* Chips Off The Ol’ Cucumber

* Chips Off The Ol’ Cucumber

* Spearlicious

* Spearlicious

* Spearlicious

Choose Lip Balm:

Choose Lip Balm:

Choose Lip Balm:

(please indicate quantity of selections below)

(please indicate quantity of selections below)

(please indicate quantity of selections below)

___

* Matt’s All Natural -

Eucalyptus Sage

* Matt’s All Natural -

Lavender Sage Eucalyptus

___

Total = $___________

___

* Matt’s All Natural -

Eucalyptus Sage

* Matt’s All Natural -

Lavender Sage Eucalyptus

___

Total = $___________

___

* Matt’s All Natural -

Eucalyptus Sage

* Matt’s All Natural -

Lavender Sage Eucalyptus

___

Total = $___________

Name:___________________________________

Name:___________________________________

Name:___________________________________

Phone:___________________________________

Phone:___________________________________

Phone:___________________________________

Email:____________________________________

Email:____________________________________

Email:____________________________________

Delivery (yes/no) Address:___________________

Delivery (yes/no) Address:___________________

Delivery (yes/no) Address:___________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________


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