Dot's Com Gift Shop Order Form

Dot's Com

Order Form

For your convenience, Mt. Angel Brewing Company products may be purchased by fax. To place an order via Fax, print out this form by selecting the "print" option from your browser; then fill it out and fax it to (503) 845-9891. There is no sales tax in Oregon. Continental USA shipments only.

QTY.	Order #	Description	Price Each	Total
____	MBC101	Mt. Angel Brewing Co. Old Fashioned Rootbeer. Twelve bottles in a custom shipping container. 12 oz. bottles of the best Rootbeer made in America!	$24.95	_______
____	MBC109	Mt. Angel Brewing Co. Orange Cream. Twelve bottles in a custom shipping container.	$24.95	_______
____	MBC110	Mt. Angel Brewing Co. Marionberry. Twelve bottles in a custom shipping container.	$24.95	_______
____	MBC111	Mt. Angel Brewing Co. Hazelnut. Twelve bottles in a custom shipping container.	$24.95	_______
____	MBC102	Mt. Angel Brewing Co. custom imprinted glasses. 16 oz. pounder size with double sided dark green logo imprint.	$3.95	_______
____	MBC103	Brigittine Monk Fudge. Chocolate Fudge Royale (With Nuts) Made by the Oregon Brigittine Monks at their monastery. Comes in a one pound box.	$14.95	_______
____	MBC104	Brigittine Monk Fudge. Chocolate Fudge Royale (Without Nuts) Made by the Oregon Brigittine Monks at their monastery. Comes in a one pound box.	$14.95	_______
____	MBC105	Mt. Angel Brewing Co. T-Shirt Hanes heavy weight 50/50. Light green with dark green imprint front and back.	$17.95	_______
____	MBC106	Mt. Angel Brewing Co. Henley style short sleeve shirt. Anvil dark green imprint front and back.	$24.95	_______
____	MBC107	Mt. Angel Brewing Co. Baseball Cap. Script writing, dark green bill with gray body. Adjustable	$15.95	_______
____	MBC108	Fresh Oregon Marionberry Jam. 11 oz. re-sealable granny type jar.	$12.95	_______
			Total:	$_______

SOLD TO: NAME:_____________________________ ADDRESS: ________________________ CITY: _____________________________ STATE: ____ ZIP: ________ PHONE: ( ) ________________ SHIP TO: NAME:_____________________________ ADDRESS: ________________________ CITY: _____________________________ STATE: ____ ZIP: ________ PHONE: ( ) ___________________		PAYMENT METHOD ( ) Ship C.O.D. ( ) Master Card Expires: ___________ ( ) Visa Expires: ________________ Card #: _________________________ Capture # _______________________ SNAIL MAIL, CALL OR FAX TO: Mt. Angel Brewing Co., LLC 210 Monroe Street, P.O. Box 22 Mt. Angel, Oregon 97362 Phone: (503) 845-9624 FAX: (503) 845-9891 Web: www.mtangelbrewing.com
OFFICE USE ONLY:
Date of order: _________	Order taken by:________________	Weight:_____
	Shipped By: ______	Date Shipped: ______
		Shipping Charge _______