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Order Form

 Item Description

 Amount

 Price

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 'Alaea Hawaiian Sea Salt (coarse 8 Oz.)

Amount:

1 bag- $6.50

2 bags- $10.00

3 bags- $12.99

4 bags- $15.99

'Alaea Hawaiian Sea Salt
(fine table grind 6 Oz.)

Amount:

1 bag- $6.50

2 bags- $10.00

3 bags- $12.99

4 bags- $15.99

 'Alaea Hawaiian Garlic Salt
(coarse 6 oz.)

 Amount:

1 bag- $6.50

2 bags- $10.00

3 bags- $12.99

4 bags- $15.99

1 lb Coarse Grain 'Alaea Hawaiian Sea Salt
(does not include decorative bag)

 Amount:

 $9.50

 Please choose bag colors (does not change order):
Your total bag colors should equal the amount of bags of salt ordered.

Red:
Blue:
Green:
Purple:

 

First Name:

 Last Name:

 Email:

 Street Address:

 City:

 State:

 Zip Code:

 Country:

Day Time Phone Number:

 Credit Card Number:

 Card Type:

 Expiration Date (mm/yy):

 Card Holders Name:

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If you wish to print this form out and mail it you may send it to:

Hawaiian Specialty Salt Company, Inc.
P.O. Box 5766
Hilo, HI 96720