Mail In Order Form

Mail in Order Form

TO ORDER:
Before you order make sure read and understand our sales terms. By placing an order you agree to our sales terms. Click here to read terms
Please print this page using the "print" function on your browser, fill it out, and send it along with check or money order to:

Kentucky Barrels LLC fax 606-773-0401
PO Box 1684
Danville, KY 40423-1684 When you are finished printing, use the "back" function of your browser to return to the last page viewed.

ON LARGE ORDERS OR WHOLESALE ORDERS PLEASE SEND CASHIERS CHECK

NAME:__________________________________________________

SHIP TO ADDRESS:____________________________________________________ (no PO box)

CITY:____________________________________________________

STATE:___ ZIP:___________ COUNTRY:___________ PHONE:_______________

EMAIL ADDRESS: ______________________________________________________

have read and agree to Kentucky Barrel ordering terms, sign here:_________________________________________

Prices are in US Funds, We accept ONLY US Funds

QTY	ITEM	UNITS	DESCRIPTION	UNIT PRICE	SHIPPING	TOTAL
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
_______	_______	_________	______________________	______________	_________	__________
				SUBTOTAL	_________	__________
				KY RESIDENTS AD 6% SALES TAX	_________	__________
				TOTAL	_________	__________

Please check your method of payment:

_______Check _______Money Order ______Bank Check _______ International Money Order ________Cashiers Check