Name____________________________________________________
Address__________________________________________________
City_____________________________________________________
Zip_____________
Telephone_________________________________________________
2lb bags @ 2.95 each ___________________
Shipping _______________________
MS residents add 7% tax_________________
Total ________________________________
Shipping Prices
- 1 bag 6.50
- 2 bags 8.50
- 3 bags 10.00
- 4 bags 11.00
- 5 bags 12.00
Please send this form with your check to:
Stone Ground Corn
31 Pioneer Dr
Hattiesburg, MS 39402
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