Old Barn GS Order Form

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Order Form

1. Your information: (No P.O. Boxes, Please!)

First Name

Last Name

Address 1*

Address 2

City

State

Zip Code

Day Phone

Email

Card Type

Card No.

Card CVV #

Order is

6. Press Submit Button Only ONCE!

Homemade

Table Syrup

Amish Fruit

Pancake Mix

Amish Wedding

Muffin Mix

Amish Fruit Butter

Amish Jams,

Jellies & Preserves

Gourmet Coffee

Jack Daniels Sauce

Breaders

Spice

Amish Jerky

Salad Dressing

Soup Mix

Amish Vegetables

Dessert Mix

Amish Cookie Mix

Thanks.

Use this

box for comments.

Exp. Date mm/dd/yyyy

5. Customize your Old Barn General Store boxes by selecting from the drop-down menus below

and filling the item numbers in the boxes above...

5 Easy Ways

To Order:

By Mail:

Old Barn General Store

2549 Augusta Highway

Lexington SC 29072

By Fax:

(803) 951-2243

By Email:

Orders@OldBarnGeneralStore.com

By Phone:

(803) 951-2276

Or visit the

Old Barn General Store

in person...

Mon-Sat 10:00 AM - 6:30 PM

Sunday 1:30 PM - 6:30 PM

(Extended Holiday Hours:)

Nov. 1 through Dec. 23

Mon-Sat 10:00 AM - 8:00 PM

Sunday 1:30 PM - 7:00 PM

*Your CVV is the LAST 3 digits appearing within the signature panel on the back of your card.

2. Gift Recipient's information (No P.O. Boxes, Please!)

First Name

Last Name

Address*

City

State

Zip Code

Include Gift Card?

Gift Card Message

(1) 1 lb. pack country ham

(1) 24 oz. buttermilk maple pancake mix*

(1) 12 oz. homemade table syrup*

(1) 18 oz. old-fashioned jam*

(1) 1/2 lb. gourmet coffee*

Pick up at our store...$26.70

3. Order Your Items:

Quantity Total

Please use standard 2 letter state abbreviations

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

(1) 1 lb. pack country ham

(1) 24 oz. fruit pancake mix*

(1) 12 oz. homemade table syrup*

(1) 2 lb. white grits

(1) 1 lb. yellow grits

(1) 1/2 lb. gourmet coffee*

(1) 13 oz. bag muffin mix*

(1) 18 oz. old-fashioned jam*

(1) 8 oz. fruit butter*

Pick up at our store...$43.10

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

(1) One 1-lb.pack country ham,

(1) 24-oz. Bag buttermilk/maple pancake mix

(1) 24-oz. Bag fruit pancake mix

(1) 12-oz. Bottle homemade table syrup

(1) 1-lb. Bag yellow grits

(2) 1/ 2-lb. Bags gourmet coffee

(1) 13-oz. Bag muffin mix

(1) 18-oz. Jar old-fashioned jam

(1) 16-oz. Bottle pure honey

(1) 2-lb. Bag biscuit mix

(1) 8-oz. Jar fruit butter

Picked up @ our store: $58.95

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

(1) 32 oz. Amish vegetables

(1) One soup mix

(1) 12.7 oz. salad dressing

(1) jar Amish cookie mix

Picked up @ our store: $26.90

(1) One 32-oz. Jar Amish vegetables*

(1) (1) 16 oz. Old-fashioned dessert mix*

(1) 12.7-oz. Bottle salad dressing*

(1) bag soup mix*

(1) 12-oz. Bag buttermilk biscuit mix

(1) 12-oz. Bag white gravy mix

(1) 12-oz. Bag chicken or seafood breader*

Picked up @ our store: $35.45

(1) Two 32-oz. Jar Amish vegetables*

(1) 5-oz. Jack Daniels sauce*

(1) bag soup mix*

(1) 1/ 2-lb. Gourmet coffee*

(1) 4-oz. Bag old-fashioned beef jerky*

(1) 1.7 to 3.4-oz. Bottle all natural spice*

(1) 16 oz. Old-fashioned dessert mix*

(1) 2-lb. Bag chicken or seafood breader*

(1) 2-lb. Biscuit or cornbread mix*

(1) 12-oz. Bag white gravy mix

Picked up @ our store: $62.75

(1) 32-oz. Jar Amish vegetables*

(1) 18-oz. Jar old-fashioned jam*

(1) 1-lb. Pack country ham

(1) 16-oz. Old-fashioned dessert mix*

(1) double-decker Chattanooga Moonpie

Picked up @ our store: $23.00

(1) One 32-oz. Jar Amish vegetables*

(1) 4-oz. Bag old-fashioned jam*

(1) 1.7 to 3.4-oz. Bottle all natural spice*

(1) 2-lb. Bag chicken or seafood breader*

(2) 18-oz. Jars old-fashioned jam*

(1) 1-lb. Pack country ham

(1) 1-lb. Bag assorted gourmet chocolate candies

Picked up @ our store: $47.80

(1) One 32-oz. Jar Amish vegetables*

(1) 18-oz. jar old-fashioned jam*

(1) 1-lb. pack country ham

(1) bag soup mix*

(1) 12.7-oz. Bottle salad dressing*

(1) 5-oz. Bottle Jack Daniels sauce*

(1) 1/ 2-lb. Bag gourmet coffee*

(1) 24-oz. Bag buttermilk/maple pancake mix

(1) 12-oz. Bottle homemade table syrup*

(1) 16-oz. Bag old-fashioned dessert mix*

(1) double-decker Chattanooga Moonpie

(2) rock candies on a stick

Picked up @ our store: $58.50

ADDITIONAL INFORMATION:

If you cannot visit our store in person, conveniently order by e-mail, fax or U. S. mail. Ordering by e-mail or fax speeds processing and reduces errors. Phone orders are also always welcome..

We ship via UPS whenever possible, unless you specify otherwise. Please type or print your complete order clearly. Please ensure your address and the addresses of any gift recipients are complete and include correct* zip code and street address, as UPS will not deliver to a post office box. U.S.A. orders can be shipped Parcel Post. We cannot ship overseas except to APO and FPO addresses: Please include $2.00 extra for service to any APO or FPO address.

The prices shown on this site are for products picked up at our store. Shipping charges are for products shipped anywhere in the United States of America except Alaska, Hawaii and Puerto Rico.

Specail rates for shipping to Alaska, Hawaii and Puerto Rico are available upon request.

We will enclose your greeting card in the gift package if it accompanies your order or we will enclose an Old Barn general Store gift card with the your sentiments, if preferred. All orders are acknowledged by return mail. No prices will be shown on gifts.

Please enclose full payment with order. Checks, money orders, VISA, Discover and MasterCard accepted. No CODs. Make checks payable to Old Barn General Store. When ordering with a bank card, please give name as it appears on card, billing address, card number, expiration date and validation number from the back of the card.

If this is your first order from Old Barn General Store and you need your order expedited, please enclose certified check, money order or use your bank card. Otherwise there may be up to a two-week delay in shipment.

5% South Carolina Sales Tax will be added to all items purchased in our country store. 5% South Carolina Sales Tax on both merchandise and delivery charges will also be added to all mail or phone orders made by South Carolina residents. We do not collect sales/use tax on purchase of gift certificates.

(*PLEASE NOTE: UPS charges $5.00 for each address correction. We will bill you for these additional charges or for the cost of reshipment if you furnish an incorrect shipping address.)

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

Quantity Total

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

*Choose Flavors

(Enter flavor item numbers from drop down lists below)

Quantity Total

4. GRAND TOTAL - ALL ITEMS

We also carry...

Peppered Bacon

Hickory Smoked Bacon

Seasoning side meat

Whole country hams

Sliced country hams

Specialty Cheeses

Hoop Cheese (An Old Barn General Store Favorite - Our hoop cheese can be shipped anywhere during winter months.)

Cheese Balls

Cheese Spreads

...and hundreds more southern gourmet products!

Custom design your own gift box or choose from our ready-to-go gift boxes.

We also offer gift certificates.

2549 Augusta Highway (U.S. Hwy #1)

Lexington S.C. 29072

803.951.BARN (2276) FAX (803) 951-2243

EMAIL: orders@oldbarngeneralstore.com

www.oldbarngeneralstore.com

(large)

Our sturdy, attractive gift boxes can be shipped to the person you specify or sent to you for wrapping and presenting to your gift recipient. We can include our standard gift card identifying you as the giver and we can add your special message if you send it with your order. If ordering by mail, you can send us your personal gift card to include.

NOTE: This is NOT a secure order form. Your order will be sent via email.

NOTE: Click the "X" box in the upper right corner to close this window and return to

Old Barn General Store.