Maple Street Chapel Preservation Society

Nuts for the 2011 Holiday Season

Order Form

 

Print this form.

Enclose check payable to Maple Street Chapel.

Mail to:
Tom Scott
2S 474 Beechwood Ln
Glen Ellyn, IL   60137

Orders must be submitted by Sunday, October 30th.
They should be picked up at First Church of Lombard on Sunday, November 20th.

                                                                                                                            
Name

                                                                                                                            
E-mail address

                                                                                                                            
Phone

Product Number


Item

Price Each


Quantity

Total
Cost

60000

Pecan Halves, Fancy Mammoth Natural

$10.00

 

 

60010

Pecan Pieces, Fancy

$10.00

 

 

60015

Walnut Halves  -  Large and Pieces

$9.00

 

 

60025

Mixed Nuts Deluxe (no peanuts)

$9.00

 

 

60064

Peanuts  -  Honey Roasted

$5.00

 

 

60070

Cashews  -  Honey Roasted

$9.00

 

 

60081

S'mores Mix

$6.00

 

 

60087

Sweet & Salty Trail Mix

$6.00

 

 

62010

Chocolate Coated Jumbo Raisins

$6.00

 

 

62022

Chocolate Coated Peanuts

$6.00

 

 

 

Payable by check to Maple St. Chapel

 

Order Total

 

If paying by credit card (Visa or MasterCard only), give the following information:

O Visa
O MasterCard

                                                                                                             
Account Number                                                 3-char code on back of card

                                                                                                             
Name as appears on card                                               Expiration date

                                                                                                         
Signature