Gibbons Family Farm Order Form (print this to your printer)
Description
 Size   Qty   Price
    Total    
 Maple Syrup  8 x 540 ml cans    $58.00   
     "  4 x 540 ml cans    $33.00   
     "  1 x 540 ml can    $8.75   
     "  2 litre plastic jug    $33.00   
     "  1 litre plastic jug or tin        $18.00   
     "  500 ml plastic jug or tin    $10.00   
     "  250 ml plastic jug or tin    $6.00   
     "  125 ml tin    $3.75   
     "  100 ml plastic jug    $3.25   
     "  50 ml glass    $2.00   
 Fancy glass maple leaf shaped bottle maple syrup  250 ml    $11.50   
     "  50 ml    $4.50   
 Maple Butter  250 grams    $7.50   
      "  500 grams    $14.00   
 Cinnamon Maple Butter  300 grams, glass jar    $8.50   
 Maple Jelly  250 ml    $5.25   
     "  125 ml    $3.25   
 Maple Mustard  190 ml    $5.95   
     "  60 ml    $2.95   
 Gourmet Vinaigrette and Dipping Sauce  250ml glass bottle    $7.95   
 Maple Sugar Candy  1 lb (48 pieces)    $18.00   
     "  1/2 lb (24 pieces)    $9.50   
 Granulated Maple Sugar  150 gram jar    $5.50   
    "  500 grams    $13.50   
 Maple Tea  20 Tea Bags/Box    $6.25   
 Maple Herbal Tea  20 Tea Bags/Box    $6.25   
SubTotal   
Shipping (in Ontario; order up to $40 = $10.00; orders to $90 = $15, over $90 contact us)
Outside of Ontario - please contact us for an individual quote.
 
TOTAL   
Payment:
____ cheque ____   money order
 ____ VISA   ____ Master Card

Card Number: _____________________________

Expiry Date: ______________________________

Name on Card: ____________________________

Signature: _______________________________

Shipping Information:
(please use a postal mailing address)

Name: ___________________________________

Address: _________________________________

________________________________________

City: _________________ Prov: _________

Pcode: _________________

Telephone: _____________________________
Please mail this form with your payment to:
Gibbons Family Farm, 41 Leacock Road, RR 1, Frankville, Ontario, K0E 1H0

or fax completed form with credit card payment to: (613) 275-1839
or email information to: mail@gibbonsmaple.com
or phone your order to: toll free 1-877-440-7887 or 613-275-2893
(please note that this is our home phone - any reasonable time - eastern time zone)

please make cheques or money orders payable to "Gibbons Family Farm"

All prices are in $Canadian

I prefer PayPal payments!
Now Available for International Users

For shipping to other countries, please contact us for shipping costs.

Please note, due to new U.S. Food and Drug administration requirements we no longer ship maple syrup and maple products to the United States of America.

Gibbons Family Farm
41 Leacock Road, RR 1
Frankville, Ontario
K0E 1H0 CANADA

For more information:
Toll Free 1-877-440-7887
Tel: 613-275-2893

(please note that this is our home phone - any reasonable time - eastern time zone)
email: mail@gibbonsmaple.com

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