VERBENA PECAN CO.  (1-888-732-6865)  PRINTABLE ORDER FORM
| Back to Verbena Pecan Co. | Back to Bustersoft Country Store |
QTY.
Item Ordered
1/2 Lb.
 1Lb./Ea.
Total Price
. *Large Pecan Halves
----
$8.95
 .
. *Pecan Pieces
----
$8.75
 .
. Cracked Pecans  
Call
 .
. Peanuts - Shelled - 1 Lb. Bag
----
$3.75
 .
. Peanuts - In-Shell - 5 Lb. Bag
----
$8.75
 .
. *Roasted Pecans
$5.95
$9.75
 .
. *Honey Glazed Pecans
$5.95
$9.75
 .
. *Cashews
$5.95
$8.25
 .
. *Chocolate Covered Pecans
$5.95
$9.75
 .
. *White Chocolate Covered Pecans
$5.95
$9.75
 .
. *Old Timey Praline
$5.95
$9.75
 .
. *Heavenly Praline Crunch
$5.95
$9.75
 .
. * Frosted Pecans
$5.95
$9.75
 .
. *Cinnamin Covered Pecans
$5.95
$9.75
 .
. *Pecan Turtles
$5.95
$9.75
 .
. *Butter Pecan Crunch
$5.95
$9.75
 .
. *Chocolate Covered Peanuts
----
$6.25
 .
. **1 Lb. Decorative Gift Tin   (choose 7 flavors above*)
$17.95
 .
7 Selections:
. **1.5 Lb. Decorative Gift Tin  ( filled with Items below )
$24.95
 .
Chocolate - Roasted - Frosted - White Chocolate
. **2 Lb. Decorative Gift Tin  (choose 7 flavors above*)
$29.95
 .
7 Selections:
. **2.5 Lb. Decorative Gift Tin  ( filled with Items below )
$34.95
 .
Chocolate - Butter Pecan Crunch - Turtles - White Chocolate
. **4 Lb. Decorative Gift Tin (choose 6 flavors above*)
$46.95
 .
6 Selections:
. **1 Lb. Pecan Divinity (Gold Gift Tin)
$14.95
 .
. Lrg. Pecan Log  (Individually Wrapped)
7 oz.
$4.95
 .
. Pecan Log  (Individually Wrapped)
2.75oz.
$2.95
 .
. Lrg. Pecan Divinity  (Individually Wrapped)
4 oz.
$3.50
 .
. Pecan Divinity  (Individually Wrapped)
1.7oz.
$1.95
 .
. Fiddle Sticks  (Individually Wrapped)
4 oz.
$2.95
 .
. Sugar Free Chocolate Covered Pecans
8 oz.
$7.50
 .
. Sugar Free White Chocolate Cov. Pecans
8 oz.
$7.50
 .
. Sugar Free Chocolate Turtles
8 oz.
$7.50
 .
. Sugar Free Chocolate Covered Peanuts
8 oz.
$7.50
 .
. Sugar Free Fiddle Sticks
4 oz.
$2.95
 .
. Sugar Free Peanut Butter Meltaways
8 oz.
$7.50
 .
. Sugar Free Mint Meltaways
8 oz.
$7.50
 .
. Sugar Free Chocolate Covered Caramel
8 oz.
$7.50
 .
. Sugar Free Chocolate Cov. Butter Toffee
8 oz.
$7.50
 .
. Sugar Free 1 lb. Candy Assortment Tin
1 lb.
$17.95
 .
7 Selections:
. Sugar Free 1.5 lb. Candy Assortment Tin
1.5 lb.
$24.95
 .
4 Selections:
. Gift Card
ea.
$1.00
 .
.
Subtotal
  .
UPS Shipping (see chart below)
 Shipping
  .
Alabama residents add 4% Sales Tax
 Tax
  .
Please make check or MO payable to Verbena Pecan Co.
and mail to:  33600 AL. Hwy 22 East, Verbena, AL 36091
 Total
  .

*$0.25 per Lb. discount on 24 Lb. or more orders of these items (mix OK)
**Call for current Qty Prices on orders of 24 or more on these items
ORDERS PAID BY CHECK SHIPPED WHEN CHECK CLEARS

Order Toll Free: 1-888-PECANS2U  (1-888-732-2628)
or FAX credit card orders to 1-205-755-6865
or mail to: 33600 AL. Hwy 22 East, Verbena, AL 36091
.

Person Ordering:
Name:____________________________________ Date of order:________



Street Address:_________________________________________________
___________________________________________________________



City:__________________________  State: __________ZIP:____________



Phone Number: ______________________________ 
Check Money Order Master Card Visa
Card Number: _________________________________________________
Card Epiration Date: (MM/DD/YY)   _________________________
Acct Addr (If Different): ___________________________________________ 
___________________________________________________________ 
Signature: _____________________________________________________

SHIP NOWTHANKSGIVINGCHRISTMASOTHER (specify)
Holiday______________________________ Date ______________
.

Ship To:
Please Circle One:     BUSINESS        RESIDENCE
Name:_________________________________________________________



Street Address:_________________________________________________
___________________________________________________________



City:__________________________  State: __________ZIP:____________



Phone Number: ______________________________ 
 
Message for optional Gift Card:
___________________________________________________________
___________________________________________________________
___________________________________________________________
UPS SHIPPING CHARGE ZONE MAP AND CHART
Order Total Zone
1 2 3 4 5
$10.00 - 20.00 9.25 9.75 10.25 10.75 11.25
$20.01 - 30.00 9.75 10.25 10.75 11.25 11.75
$30.01 - 40.00 10.25 10.75 11.25 11.75 12.25
$40.01 - 60.00 11.00 11.50 12.00 12.50 13.00
$60.01 - 80.00 11.75 12.25 12.75 13.25 13.75
$80.01 -100.00 12.50 13.00 13.50 14.00 14.50
$100.01 -150.00 13.25 13.75 14.25 14.75 15.25
$150.01 -200.00 14.00 14.50 15.00 15.50 16.00
WE SHIP TO 48 CONTINENTAL STATES  --  CALL FOR QUOTE ON PACKAGES ABOVE $200.00

| Back to Verbena Pecan Co. | Back to Bustersoft Country Store |