Japanese Green Tea

Order Form/Price List

For Credit Card Orders - Please complete the Order Form and Click on the E-Mail Now button below.
For Check or Money Order - Please complete the Order Form, print and send to

Zip Cord
Kitaban City Shizuoka Prf. Japan 12402-1421
or
PHONE:(054)271-1211 FAX(054)273-2880

	Weight (g)	Weight (oz.)	Price + Shipping & Handling
	100g	3.5oz.	$17.00 + $3.00 = $20.00
	200g	7.1oz.	$33.00 + $3.00 = $36.00
	500g	1.1lb.	$77.00 + $3.00 = $80.00
Senior Citizens 10% Discount
Please allow one week for delivery.TOTAL

Name:	Age:
Address:
City:	State: Zip:
Phone:
E-mail:
Credit Card:	American Express Master Card Visa
Credit Card #	Expires:
	Where did you hear about this Web Site:
	Search Engine Print Advertisement Referred by Friend