Retail Product Ordering Form: As Easy as 1...2...3...

Dufresne's Sugar House - Retail Product Order Form We accept Mastercard, Visa, Discover or Check. (Never send your credit card number over unencrypted email) Name: Date:
Street Address:
City & State: Zip Code:
Telephone: E-mail:

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MAPLE SYRUP IN A TRADITIONAL JUG - SAME PRICE ALL GRADES Grades - Light Amber (LA), Medium Amber (MA), Dark Amber (DA), (B-Grade available by special order, in cases only) Type, (Cost, Shipping Weight) - Quantity - Grade (LA, MA, DA, BG) 1/2 pints available by case only     Pint ($15.00 each, 3lbs each) _____ qty _____ grade Quart ($25.00 each, 4lbs each) _____ qty _____ grade 1/2 Gal ($36.00 each, 7lbs each) _____ qty _____ grade Gallon ($58.00 each, 14lbs each) _____ qty _____ grade
Light Amber Syrup in Glass Maple Leaf Type, (Cost, Shipping Weight) - Quantity 50ml ($7.00 each, 1lb each) _____ qty 100ml ($10.00 each, 2lbs each) _____ qty 250ml ($15.00 each, 3lbs each) _____ qty	Maple Sugar Blocks Type, (Cost, Shipping Weight) - Quantity 1/2 lb. ($15.00 each, 1lb each) _____ qty Pound ($25.00 each, 2lbs each) _____ qty
Maple Sugar Candy - (Shipped Oct-May) Type, (Cost, Shipping Weight) - Quantity 1/2 lb. ($15.00 each, 1lb each) _____ qty Pound ($25.00 each, 2lbs each) _____ qty	Maple Cream Type, (Cost, Shipping Weight) - Quantity 1/2 lb. ($15.00 each, 1lb each) _____ qty Pound ($25.00 each, 2lbs each) _____ qty
Indian Sugar/Granulated Maple Sugar Type, (Cost, Shipping Weight) - Quantity 12 oz. ($15.00 each, 2lbs each) _____ qty

Shipping - Use chart below to figure shipping costs. We usually ship by UPS ground but occasionally use other means. If you have particular requirements contact us to discuss.

Total Your Order
Total Product Amount	$________	(total units ordered x cost each unit)
Total Shipping Amount	$________	(add shipping weights together, locate total on chart)
Packing & Handling Fee	$________	(for product orders - $3.00 for each shipping address)

Amount Due to Dufresne's Sugar House $______________
(total order amount + total shipping amount + $3.00 packing/handling ea. address)
Make Checks or Money Orders Payable To: Dufresne's Sugar House.

	CC#___________________________________________________
	Exp. Date____________________ 3-dig. Sec. Code__________________
	Signature_______________________________________________

MAIL:113 Goshen Road, Williamsburg, MA 01096

Payment

By Check or Money Order - Payable To: Dufresne's Sugar House. All orders will be shipped upon receipt of payment.
We can now take credit cards over the phone or by postal mail. We accept Mastercard, Visa and Discover. Please call us if you have any questions or would like to place an order. (Never send your credit card number over unencrypted email)

Shipping Information for Retail Sales

Shipping Information - We ship UPS ground. Please contact us for expedited shipping.

UPS Ground Shipping Charges by Weight - Please use this chart to figure your shipping charges and add the amount to your order. This chart applies to UPS Ground Delivery for retail sales to the 48 contiguous states - please call, mail, or e-mail us for AL, HI and foreign deliveries. Also contact us for shipping costs for wholesale & bulk orders.

Shipments to More Than One Address: Please figure shipping separately for each address

Gift Orders

If you are sending any of the items ordered to someone as a gift please add a note of the name, shipping address and items and we will gladly follow your instructions (please include your telephone number in case we have questions).

If you want to send holiday or special occasion cards in your own writing, we will be happy to include them in the packages, for no extra charge.

Call for Expedited Orders - (413) 268-7509 or email us.

For further information or questions contact us at: sugarmaker@berkshiremaple.com