The SLA Store Order Form
| Name | |
| Phone | |
| Address | |
| City, State, Zip | |
| VISA or MasterCard # | |
| Exp. Date |
| Quantity | Description | Size | Price |
| Subtotal | |||
| Shipping | |||
| Total |
| Purchase Amount | Add |
| $0 - $20.00 | $3.99 |
| $20.01 - $50.00 | $5.99 |
| $50.01 - $75.00 | $7.99 |
| $75.01 - $100.01 | $9.99 |
| $100.01 - $130.00 | $11.99 |
| $130.01 - $200.00 | $13.99 |
| OVER $200.00 | $15.99 |
| Maple Syrup per bottle | $7.00 |
Phone: (603) 968-7336
Fax: (603) 968-7444
Squam Lakes Association PO Box 204 Holderness, NH 03245