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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