Order Form

Custom Orders
We would be happy to work with you on a custom order, contact us for price and availability -

e-mail us at spitfire@portone.com.

 

Silliman Farm Mail Your Order To:
Silliman Farm

133 Sillimanville Rd. Moodus Ct. 06469

Questions or to Call In Your Order: (860)-301-2126

Mailing Address Shipping Address (if different)
Date:________________________________
Name:_______________________________
Street:_______________________________
City: ________________________________
State: ________________  Zip: ___________
Telephone (       )_______________________
E-mail _______________________________

Date:________________________________
Name:_______________________________
Street:_______________________________
City: ________________________________
State: ________________  Zip: ___________
Telephone (       )_______________________
E-mail _______________________________
Item No.
Item Name, Size, Color, Etc.
Unit Price
Qty.
Total
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SUBTOTAL
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10% Shipping & Handling
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TOTAL
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Keith Murphey Spitfire@portone.com
Janet Chapman jchapman01@msn.com