ORDER FORM ~ USA Name:___________________________ Mailing Address:____________________________ _____________________________ Phone #/fax/e-mail:________________________

Please make checks payable to: Meui McKiblin Send checks to: HC4 610 Godfrey Ranch Rd. Forks of Salmon CA 96031 USA phone: 530-554-4847

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Please print out this form, then enter the number of bags in boxes provided, tally and total down the edge and then on the bottom. Send us the form. OR e-mail your request and we will confirm your order. Thank You!

	BAGS x QUANTITY	TOTAL DOLLARS
GOLDEN CAYENNE	@$6.00/ea. x (____) =
SWEET PAPRIKA	@$6.00/ea. x (____) =
SPICY GARLIC BLEND	@$7.50/ea. x (____) =
CARRIBBEAN BLEND	@$7.50/ea. x (____) =
SMOKY MOUNTAIN SPRINKLE	@$7.50/ea. x (____) =
SMOKED PAPRIKA	@$7.50/ea. x (____) =
CHIPOLTE	@$7.50/ea. x (____) =
ITALIAN HERB BLEND	@$4.50/ea. x (____) =
TAKE THE EDGE OFF TEA	@$4.50/ea. x (____) =
	TOTAL + SHIPPING =

*cylinder jar
PLEASE ADD SHIPPING : $6.00 in the USA, $11.00 in Canada
[for orders over 1 pound(2.2kg) please inquire]
"PRICES ARE REFLECTED IN US DOLLARS"

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