Order Form


53 Downing Road
Bangor, Maine 04401

Henderson’s Redware


(207) 942-9013
Fax: (207) 942-9044
Toll Free: 866-376-4475

Retail Order Form

Print this page from your web browser and fill it out; then mail, fax, or call in your order

PURCHASER:

BILLING ADDRESS:

TELEPHONE #:

E-Mail:

SHIPPING ADDRESS (if different):

Date of Order:

Please allow 1-3 weeks for delivery

Date Shipped:

Method of PaymentCheck EnclosedMastercardVISAExpiration Date:V-Code:
(Check One):
Credit Card Number:
QuantityItem NumberItem Name and Description (size, style, decoration, etc.)Unit CostExtended Cost
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Unit CostExtended Cost
SUBTOTAL:$$
Shipping will be added at time of order$$
ME residents only: add 5% sales tax$$
TOTAL:$$