Brick House Basket Supply Order Form

Brick House Baskets Order Blank

Note: At present we do not have secure ordering. Please e-mail your order, call, or fax this form to us.

Please do not e-mail credit card info.

Phone: 1-800-905-3513

Fax: 1-603-286-2741

Brick House Basket Supply

392 Stage Road

Sanbornton, NH 03269

Hours of Operation & Company Policies

Item Price Qty Total

Subtotal

Shipping

Handling

Name

Total

Address

City State Zip

E-mail address

Payment Method:
Check Visa Mastercard

Credit Card Number:

Expiration:

Name exactly as it appears on the card:

We ship by UPS usually within 24 hours. Their charge will be added to you order in addition to a $1.50 handling fee he minimum order is $5.00. C.O.D order will be subject to a $5.00 surcharge.

basktsuply@aol.com / Phone: 1-800-905-3513 / Fax: 1-603-286-2741