Order_Form

Berkshire Valley, Inc.

Order Form & Information

We Accept Visa, and Mastercard

YOUR CREDIT CARD WILL NOT BE CHARGED UNTIL THE DAY WE SHIP YOUR ORDER.

If you would like to place an order, please complete the following form and print it to mail or fax into us or call us at

1 (800) 984-0591

If paying by check, please wait for confirmation before sending Payment to:

Berkshire Valley, Inc.
P.O. Box 150
Adams, MA 01220

- OPEN -10:00 a.m. to 5 p.m.

If you have any questions, comments, or suggestions, Please email us at:

Terms and Conditions: All Prices Subject to Change Without Notice.

Terms:	Check, Money Order, Mastercard or Visa accepted
Returned Checks:	A $25.00 handling fee will be charged for any check returned for insufficient funds, etc.
Returns:	Merchandise returned for exchange or refund must be returned at customer's expense within 30 days of purchase. A 10% handling fee will be charged on returned items.
Guarantee:	Should any part be defective, missing or broken by you during assembly of our product, we will replace it. We request that all defective parts be returned.
Foreign Terms & States Outside the Continental U.S.	Payment by Mastercard or Visa only. Customer is responsible for shipping expenses.

SHIPPING INFORMATION

Name:

E-mail Address :

Address1:

Address2:

City: State/Prov: Zip:

Country:

Phone #:

Billing Information (if different from above)

Name:

Address1:

City: State/Prov: Zip:

Country:

CREDIT CARD INFORMATION:(only if paying by credit card)

Card Number: Expiration Date MM/YY:

Name:

Address:

Address1:

City: State/Prov: Zip:

List the Part Number, Description, Quantity, Price, and Extension for each item in the spaces below

IF TAX EXEMPT, ENTER YOUR NUMBER BELOW. A COPY OF THE CERTIFICATE MUST ACCOMPANY YOUR PAYMENT.

Tax Exempt #: PHONE/FAX ORDER TO: (800) 984-0591