Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: The Primitive Pineapple 9512 Highland St.,P.O. Box 14 Mauricetown, New Jersey United States 08329 Phone #: 856-785-1728 Fax #: Email: Inez@primitivepineapple.com
Circle Payment Method: Check Money Order
Print Name:
Address:	Email:
City:
State & Zip:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
New Jersey residents must add 7% sales tax-
MAKE CHECKS PAYABLE TO: The Primitive Pineapple	Total :

Thank you for shopping at The Primitive Pineapple.