Co-Op Online Order Form

Place your order online, by fax, by phone, or at the store.

Print this Form

Please refer to the current co-op catalog for product numbers and prices.

Orders must be received no later than Tuesday evening for Friday pick-up.

First Name: Last Name: Email:

Home Phone: Member Number:

Minimum order is $25.00 and you must order three each of any item that is sold in singles.

Item	Product#	QTY	Description (brand and product name)	Page#	Unit Price	Total Price
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Sub Total does not include: - Maine State Sales Tax of 5% for taxable items. - Co-op Surcharge. - Corrections to prices entered. Whole Life Natural Market staff will provide your final total at the store.*					Sub Total*

Special Instructions or Comments:

Please double-check all information before submitting your order!
You are responsible for the purchase of the products you indicate on this order form!

Whole Life Natural Market

80 Main Street, Machias, Maine

Phone: 207-255-8855 ~ Fax: 207-255-8866

Email: info@wholelifemarket.com

SUMMER HOURS: Monday - Saturday: 9-6, Sunday: 10-2

WINTER HOURS: Monday - Thursday: 9-5, Friday 9-6, Saturday 10-4, Sunday Closed