Credit Card Fax Form

print, scan, fax, or email

fax: 1.802.735.1023
orders@vtpeanutbutter.com
phone: 1.877.846.6887
BILLING INFORMATION       (PLEASE PRINT CLEARLY)
Name on Credit Card:
Full Address:
Phone:
Credit Card Type:
Credit Card Number:
Expiration Date:
3 digit security code on back of card:
PRODUCT INFORMATION
QTY
PRICE
PEANUT BUTTER
 
$5.95
Creamy
 
$5.95
Chunky
 
$7.95
Banana Nut Crunch (banana and nuts)
 
$7.95
Avalanche (white chocolate)
 
$7.95
Maple Walnut (vermont maple syrup & walnuts)
 
$7.95
Good Karma (dark chocolate)
 
$7.95
Stowe (cinnamon raisin)
 
$7.95
BEE Nut Butter (vermont honey)
 
$9.25
Green Mountain Goodness (almond blend w/flax & pumpkin seeds)
 
$9.25
Mad River Mojo (almond blend w/ cranberries,flax,pumpkin seeds, honey)
 
$9.25
Champlain Cherry (almond butter w/ dark chocolate & cherries)
 
$9.25
Almond Butter


SHIPPING INFOMRATION

1 - 2 Jars $9.95, 
3 - 6 Jars $10.95 GREAT DEAL !,   
7 - 8 Jars
$13.95 BETTER DEAL !,  
     9 Jars FREE - BEST DEAL !,
10 Jars + (Will constitute a new order. First 9 will still be free.)

 

QTY
VTPB GEAR
Contact Us for Price
Mountain Bike / Cycling Jersey (circle one.....unisex L, XL)
Mens Hooded Sweatshirt (circle) Brown...M, L, XL - Black...M, L, XL
Ladies Hooded Sweatshirt (circle) Light Blue...S, M - Black...M, L, XL
Kids Hooded Sweatshirt (circle) Navy...M, L, XL - Pink...M, L
Adult Tees (circle) Brown...M, L, XL
This is a dedicated FAX line to Vermont Peanut Butter Company and is 100% secure. All Credit Card numbers are shredded once used for this order and all FAXED orders are placed into a secure file for our records use only.