Alder Stream Canvas Order Form

Please print out the order form below and send it along with your payment information.  We accept Visa, Master Card, Discover, check or money order in U.S. funds.  Mail to:

Alder Stream Canvas
Jane Barron
21 Salem Road
Kingfield, ME 04947  Telephone: 207-265-5104
 
Quantity Description, Color & Size Price Total
       
       
       
       
       
       
       
Subtotal  
Maine Tax 5%*  
Shipping**  
Total  
* Sales tax applicable to order shipped in Maine

** Shipping is 15% of order for orders shipped in continental U.S.  AK, HI and overseas shipping is calculated and charged at cost. 

Colors Available:   Canvas: Tan (12oz) & Olive Drab (15oz)  Cordura: Forest Green (500 denier)
                     
Mailing Address Shipping Address (if different)
Name Name
Address Address
   
email or phone:  

Method of Payment:

Check or Money order Enclosed:  ________  
Credit Card: Visa_____ MasterCard _____ Discover ______  
Card # Name on Card:
Exp. Date   Signature: