Sandhills Crates
Order Form

Please print order form and mail or fax to:
Towne Square, 269 N. Main St., Valentine, NE 69201
Phone: 402-376-1424 or 1-800-439-8640
Email: ptcbooks@inetnebr.com
Qty Description Price Total
  Cowboy Breakfast Crate    
  Small Crate  (6" x 6" x 14") $25.00  
  Medium Crate  (8" x 6" x 14") $35.00  
  Large Crate  (8" x 6" x 14") $45.00  
  Chuck Wagon Crate    
  Small Crate   (6" x 6" x 14") $25.00  
  Medium Crate   (8" x 6" x 14") $35.00  
  Large Crate   (8" x 6" x 14") $45.00  
  Cowgirl's Special Crate    
  Small Crate  (6" x 6" x 14") $25.00  
  Medium Crate  (8" x 6" x 14") $45.00  
  Sandhill's Sampler    
  Medium Crate  (8" x 6" x 14") $35.00  
  Custom Crate    
  ________ Crate $           
Sub-total  
Shipping

$ 7.00

Total  
Payment and Shipping Information
Shipping Address Billing Address

Name:

Name:

Address:

Address:

City:

City:

State/Zip:

State/Zip:

Phone:

Phone:

E-mail:

E-mail:

Gift message:
Payment Type
WE DO ACCEPT CREDIT CARDS!
Please use the toll free number when placing credit card orders.   Payment must be included with all orders.
___ Check/Money Order: ___ Mastercard/Exp. Date: ___ Visa/Exp. Date:

Card Number:

Signature: