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OCR: GREAT FERMER of MarinATIONS TOLL FREE ORDER LINE 1-800-542-2520 87 LARKSPUR ST. . SAN RAFAEL, CA 94901 . 415/459-2520 SHIP TO: Address: City, State, Zip: Telephone: Payment by: Money Order Check ] Master Card Visa AmEx Card # Exp. Date: Signature: Quantity Description of Item Price Total NON-FOOD ITEMS Taxable Sub-Total Calif. Residents add 6% Sales Tax FOOD ITEMS (Malt, Sugar, Hops, and Concentrates) Complete Sub-Total Mail Order Form Shipping & Handling (If additional space is needed, please Total Enclosed use the other side of this form.)