CASCADE GEOGRAPHIC SOCIETY
Attention: ORDER DEPARTMENT
PO BOX 398
Rhododendron, OR, 97049
(503) 622-1798
website: http://members.tripod.com/cgs-mthood

RE-ORDER FORM FOR BERRY PRODUCTS

SHIP TO (NAME):_______________________________________________________

ADDRESS:_______________________________________________________________
                     
Street                                            City                        State                 Zip Code


PHONE (FOR CLARIFICATION OF ORDERS ONLY):_(_______)________--_________

PLEASE SEND THE FOLLOWING ITEMS:
quantity:                 description:                                                                                price:
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
_______                ___________________________________              ___________
                                                                                       Subtotal              ___________
                                                                                       Shipping            ___________

                                                                              Total Enclosed           ___________

See Re-Order Information Page for Prices and Shipping Costs
Please Print and Mail this form with Payment to the Above Address.

THANK YOU!