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Thank you for choosing The Original Rice Paddie™!!!!

To order your Original Rice Paddie(s), please fill out the information below and then print the order form off on your printer.  It will print at least 2 sheets of paper.

At this time we accept Personal Checks or Money Orders.  Sorry, No C.O.D.'s will be accepted.  All orders will be shipped U.S. Mail.  Please allow 4 - 6 weeks for delivery.

Offer valid to U.S. residents only.  Hawaii and Alaska - Extra Shipping and Handling charges will apply.

THE ORIGINAL RICE PADDIE ORDER FORM
Handcrafted in the U.S.A.!!!!

Name           

Company     

Address        (No P.O. Boxes)

City                

State               Alabama (AL) Alaska (AK) Arizona (AZ) Arkansas (AR) Califormia (CA) Colorado (CO) Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL) Georgia (GA) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michagan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Mebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY)

Zip Code       -

Telephone  1---        Ext.

Fax              1---

E-mail           

Please send 1 Rice Paddie for $15.00 + S. & H. 2 Rice Paddies for $25.00 + S. & H. 3 Rice Paddies for $37.50 + S. & H. 4 Rice Paddies for $50.00 + S. & H. 5 Rice Paddies for $62.50 + S. & H. 6 Rice Paddies for $75.00 + S. & H. 7 Rice Paddies for $87.50 + S. & H. 8 Rice Paddies for $100.00 + S. & H. 9 Rice Paddies for $112.50 + S. & H. 10 Rice Paddies for $125.00 + S. & H.

Shipping & Handling -
For 1 - 5 Rice Paddie(s) . . . . $3.50
For 5 or more please e-mail us telling us the quantity your interested in ordering and we will reply with your S. & H. charge.  (HI and AK, for 1 - 5 Rice Paddie(s) please add $5.50)

  Please make your payment out to:

  Liz Carlile
                    - Thank you

  Please PRINT and mail the above order form along with your full payment, including shipping and handling to...

THE ORIGINAL RICE PADDIE™ ATTN: INTERNET ORDERS P.O. BOX  592 DUMFRIES, VA   22026

 

THANK YOU FOR YOUR ORDER!!!!

Note:  If you are unable to print the order form out on a printer.  Please print the required information clearly on a separate piece of paper and mail it with your full payment to the address given above.  Thank you.

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