For FAX Orders:
Print out this order form and FAX it to (205) 487-6743

For MAIL orders:
Print out this order form and mail with either check or credit card info in full amount to:

Greens Mill
P.O Box 669
Winfield, AL  35594

Bill to Address:    ______________________________

                                    ______________________________

                                    ______________________________

Ship to Address:    _____________________________

(if different)                   _____________________________

                                     _____________________________

Contact Phone #____________________           Email____________________

Credit Card #____________________            Expiration Date______________

Card Holders Name_________________________      

Signature______________________

ITEM #                      DESCRIPTION (and color)                             PRICE                  QUANTITY

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                                                                                                     Subtotal of order____________

                                          (We will phone you with shipping charges)  Shipping____________

                              (Include 8 3/4% sales tax if items shipped in Alabama)  Tax____________

                                                                                                                          Total____________

Thank you for your order!

Please allow 4-6 weeks delivery after receipt of payment.