Leaves
Syrup & Salmon
  
Simple Gifts Maple Syrup Order Form

Please provide the following information:

Contact Information
Name
 
Street Address
  
City
  
State/Province
  
Zip/Postal Code
  
Work Phone
  
Home Phone
  
E-mail Address
  
Ordering Information
Quantity
 Description Price
$ 7.00
500 ml Bottle $12.00
1 Quart Bottle $17.00
1 Liter Bottle $22.00
$10.00

Shipping charges apply for orders outside of the Duluth area.
Submit the form and we will contact you with the final price quote, including shipping.

Form of Payment accepted - cash or check. Payment due prior to delivery.
Mail Payment to:
   Simple Gifts Syrup and Salmon
   3094 Whiteside Rd
   Duluth, MN 55804

Comments Regarding Your Order