Please use a separate form for each different delivery address.

First Name:

Last Name:

Address:

Apartment:

City:

  State:

  Zip:

  eMail:

  Telephone:

 Payment Method: Check

 Money Order:

  Credit Card:  Charge My Visa:

  Mastercard:

 Card Number:

 Expiration Date:

 Signature if Mailed or Faxed:

 Item Number

 Description

 Quantity

 Price

Shipping cost (items other than Christmas Trees)

 Total Amount:

Special instructions or comments: ie, Desired delivery date

When you have completed the form simply Fax or Mail it to us at:
                                Fax:  413-774-2998
                                Mail: Meadowcrest Farm
                                           290 Leyden Rd.
                                           Greenfield, MA 01301

If you have entered your e-Mail address we will send you confirmation of your order.

Thank you and Merry Christmas from Jim and Rita Adams & family

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