Pingford’s Porridge Order Form

Date:_______________

Name:__________________________________________

Address:________________________________________

Phone Number:__________________________________

Email Address (for shipping notification-We do NOT share your email information)________________________________________________

Would you like to be notified via email about special sales and newsletter information: YES____ NO____

Your order

Number of 8 ounce packages Pingford's ORIG Porridge:_________ X $7.99 each =______________

Number of 8 ounce packages Pingford's RED Porridge:_________ X $7.99 each =______________

Flat rate shipping for 1 package: $3.50

Flat rate shipping for 2-6 packages: $5.85

Flat rate shipping for 7-10 packages: $9.99

Flat rate shipping for 11-16 packages: $15.00

Flat rate shipping for 17 or more packages: $23.00

TOTAL:________________________

Please make checks and money orders payable to Luckweasel, LLC. Print and mail this form to:

Luckweasel, LLC

P.O. Box 3474

Kalispell, MT 59903

We thank you for your business!

Visit us at: www.pingfordsporridge.com

Email us: sales@pingfordsporridge.com