Order Form
Cobble Mountain Hammock Co. - East Corinth, Vermont USA
Handcrafted Hammock Chairs for the Home & Porch
For personal service please call us: Toll free 800-322-5232 or 802-439-5232
FAX: 802-439-5234
Print this form for FAX or Mail Orders

ORDERED BY:
Name: ________________________________________
Address: _________________________________
_____________________________________________
Phone Number: (______) __________________________
SHIP TO:
Name: ________________________________________
Address: __________________________________
_____________________________________________
Phone Number: (______) __________________________

METHOD OF PAYMENT (check one)
_____ Check or Money Order enclosed
_____ VISA (complete right)
_____ MasterCard (complete right)
Account # _________________________________
Exp.Date __________________________________

Name on Card ______________________________

Item No. Description Cotton / Polyester Qty. Price Shipping Sub Total
CMH003 Cobble Mountain Single Chair   $196.00 $24.00
CMH004 Cobble Mountain Chair w/ Foothold   $270.00 $24.00
CMH005 Cobble Mountain Single Foothold   $74.00 $12.00
CMH006 Cobble Mountain Double Chair   $388.00 $85.00
CMH007 Cobble Mountain Double Foothold   $120.00 $18.00
CMH008 Cobble Mountain Double Chair w/ Foothold   $508.00 $85.00
CM009 Summit Chair Cotton     $224.00 $28.00  
CM010 Summit Chair w/Foothold Cotton     $334.00 $28.00  
CM011 Summit Foothold Cotton     $110.00 $18.00  
Sub Total
VT 6% Tax
TOTAL

For Mail Orders send to:

Cobble Mountain Inc.
PO Box 237 · 1051 Village Road
East Corinth, Vermont 05040