Order Form
Contact Information:
Name:
Phone:
Email:
Your Order will Ship To:
Name:
Address:
City:
Phone:
State:
Zip
Email:
What
Size
Hudson Cream
Hudson Cream
Unbleached Hudson Cream
Unbleached Hudson Cream
Self-Rising
Self-Rising
White Whole Wheat
White Whole Wheat
Bread Flour
Cornmeal
Biscuit Mix (1 package)
Cornbread Mix (1 package)
Gravy Mix (1 package)
Logo Towel (46”x40” w/logo)
Tea Towel (36”x36” hemmed)
Tote Bag
Bread Warmer(Brown)
Bread Warmer (Blue)
Stainless Steel Tumbler (30 oz)
5 lb
25 lb
5 lb
25 lb
5 lb
25 lb
5 lb
25 lb
5 lb
5 lb
1 lb
1 lb
1/2 lb
1/2 lb
1/2 lb
1/2 lb
1 lb
1 lb
1 lb
Price
Qty
Total Wgt
$2.70
$12.25
$2.70
$12.25
$2.80
$13.00
$2.80
$13.00
$2.85
$2.65
$1.25
$1.25
$1.00
$4.50
$2.60
$8.25
$8.00
$8.00
$18.00
Total $
Shipping Cost for
order based on this
schedule
Weight
Cost
1-5 lbs
$9.00
6-10 lbs
$14.00
11-20 lbs
$19.50
21-30 lbs
$30.00
31-40 lbs
$41.10
41-50 lbs
$45.10
51-70 lbs
$54.00
***For orders from
Alaska, Hawaii, and
Rhode Island, please
call for shipping
cost**
Totals
Shipping (See above for rates):
(In KS add 7.5% Sales Tax) Tax:
Total:
Please mail completed form with check or money order payable to Stafford County Flour Mills for the total amount to
the below address:
Stafford County Flour Mills Company
Attn: Customer Order
108 S. Church Street
Hudson, KS 67545
Please allow 4 weeks for delivery