Salmon Brook Valley Order Form
To order via fax, print this page, fill out the order form, and fax it to 207-455-4995.
If you prefer, you may mail the order form to Salmon Brook Valley, P.O. Box 130, Caribou, ME 04736-0130.
If you have questions, please call 207-455-8340.

Click here to return to the Salmon Brook Valley Web site.
100% pure organic Maine Maple Syrup
White Moose Bottle    8.45 oz/250 ML   $10.00

How many bottles?  ________
100% pure organic Maine Maple Syrup
Cabin Series Bottle: Drilling a Tap    8.45 oz/250 ML   $10.00

How many bottles?  ________
100% pure organic Maine Maple Syrup
Cabin Series Bottle: Tasting the Sap    8.45 oz/250 ML   $10.00

How many bottles?  ________
100% pure organic Maine Maple Syrup
Cabin Series Bottle: Collecting the Sap    8.45 oz/250 ML   $10.00

How many bottles?  ________
100% pure organic Maine Maple Syrup
Cabin Series Bottle: Making Taffy on the Snow    8.45 oz/250 ML   $10.00

How many bottles?  ________
100% pure organic Maine Maple Syrup
Wine Bottle    25 oz/750 ML   $15.00

How many clear bottles?  ________

How many brown bottles?  ________

How many blue bottles?  ________
Maple Butter – individual jar    6.42 oz/190 ML   $6.75
Made with 100% pure organic Maine maple syrup
and real creamery butter (salted)


How many jars?  ________
Maple Butter – case of 12    Each jar contains 6.42 oz/190 ML   $78.00
Buy a full case for just $78.00. Give a truly sweet treat
to 12 friends and family members.


How many cases?  ________
Maple Candy    6-piece box   $4.00

How many boxes?  ________
Maple Candy    12-piece box   $7.00

How many boxes?  ________
Moose Pop - individual pop
A maple-flavored lollipop   $1.35



How many Moose Pops?  ________
Moose Pop - box of 20
A maple-flavored lollipop   $25.00
Buy a full box of 20 for just $25.00.
Great to pass out among party friends.


How many boxes?  ________
Gift Basket
Each basket contains 100% pure organic Maine-made maple syrup plus some or all of the following items: maple candy, maple sugar, pancake mix.
Call us at 207-455-8340 to discuss details about the basket you want. Baskets range in price from $30.00 – $40.00
CALCULATE YOUR SHIPPING COST:
If the total cost for products is $6.75 or less your shipping cost is $5.20
If the total cost for products is between $6.76 and $15.00 your shipping cost is $10.95
If the total cost for products is between $15.01 and $40.00 your shipping cost is $14.95
If the total cost for products is more than $40.00
or if your shipping address is outside the U.S.

we will calculate your shipping cost
Products shipped to U.S. addresses are shipped via the U.S. Postal Service.
Total cost for products ___________
Shipping cost* ___________
GRAND TOTAL ___________

*If your products cost more than $40.00, or if your
  shipping address is outside the U.S., do not fill in
  the shipping cost or the grand total. We will
  calculate the shipping cost and the grand total.
PROVIDE YOUR SHIPPING INFORMATION:

___________________________________________________________________      
first and last name

___________________________________________________________________      
street address or P.O. Box

___________________________________________________________________      
city, state, zip code/postal code

___________________________________________________________________      
country
PROVIDE YOUR PAYMENT INFORMATION:

______________________________________________________________      
name on credit/debit card

______________________________________________________________      
credit/debit card number                                      CVV (security code)

______________________________________________________________      
phone number

______________________________________________________________      
e-mail address
If you are sending us this form via postal service instead of faxing it, you may enclose a check instead of providing credit/debit-card information.