The Jackson Biscuit Company
Orders may be submitted by printing the completed order form below and mailing, faxing or attaching it to email.

Mail to:
John D. Jackson
725 Terry Drive
Winchester, KY 40391

Email to:
jack1@mis.net

Fax to:
859-737-3156 FAX

Return to Jackson Biscuit Home Page

Phone 859-745-2561 or Fax 859-737-3156

Please complete the following order form. Six percent tax and appropriate shipping charges will be added to your total.

Packages of Jackson Biscuits Ordered (1 package contains 1 dozen biscuits at $2.50 per dozen plus the U.P.S. shipping charge. There is also a $3.00 handling charge for each U.P.S. package. Wholesale rates are available to retailers.)
Kentucky Keepsake Cookbooks $19.95 per cookbook

Last Name
First Name
Middle Name
Social Security Number
Street Address
PO Box #
City
State
Zip
Home Phone
Work Phone
Your Email Address

Method of Payment	Cash Check Visa Mastercard
Credit Card Number
Name on Credit Card
Expiration Date
PLEASE READ THE FOLLOWING AGREEMENT CAREFULLY BEFORE SUBMITTING.
I have selected the method of payment and indicated the items and amounts ordered. I authorize Jackson Biscuit Company to process this order for the items I have selected. Signature ____________________________________________________