Co-Op Online Order Form

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

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

NOTICE: Change in pickup date effective May 20th!
Orders must be received no later than noon Wednesday for Saturday 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#	Case/Each 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

4 Colonial Way, Store 3, Machias, ME 04654 (Address formerly known as 80 Main Street)

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