Order Information
Phone: (207) 568-3683
Fax:   Print this form and fax it to (207) 568-3535
Mail:  Send this form to Kinney Maple Supplies, 39 Maple Lane, Knox, ME 04968

Terms & Conditions
Valid payment terms are cash, check or money order.

Shipping Information
Please call us for accurate shipping charges.

Product	Item	Description	Price	Qty.	Total
				Subtotal
				Maine Tax      5%
				Total

Shipping Address

Name
Address
City	State
Country	Zip
Email

Billing Address    Check if same as shipping address

Name
Address
City	State
Country	Zip
Email