Thompson Grain Order Form

Please print this form and fill out your order.

Edgewater Camp Shoe

Comfort range of  85 degrees to sub-freezing/ men’s sizes 4-14; women’s 5-15

$36.00 each, QTY: Size:

Arctic Sport Adult

Comfort range of 60 degrees F to –40 F/ men’s sizes 7-14; women’s 8-15

$62.00 each, QTY: Size:

Tack Classic

Comfort range of 85 degrees to subfreezing/ men’s sizes 4-13; women’s 5-14

High - $52.00 each, QTY: Size:

Low - $50.00 each, QTY: Size:

Five Brothers Outerwear: Insulated Bibs

Triple stitched, insulated, zipper & snaps to hip. Available in brown, chestnut or black

Adult - $40.00 each, QTY: Color:

Kid - $32.00 each, QTY: Color:

Five Brothers Outerwear: Chore Coats & Hooded Jackets

Available in brown, chestnut, moss, black, or navy blue

Adult - $34.00 each, QTY: Color:

Kid & Toddler - $28.00 each, QTY: Color:

Five Brothers Outerwear: Coveralls

Triple stitched, insulated, & zipper to hip. Brown, chestnut, or black colors

Adult - $49.00 each, QTY: Color:

Kid - $38.00 each, QTY: Color:

Five Brothers Outerwear: Flannel Lined Blue Jeans

Carpenter, straight legged, & ladies cut.

$26.00 each, QTY: Cut:

Unlined - $17.00 each, QTY: Cut:


Completed Orders:

Make checks or money orders payable to: Thompson Grain

Mail to: Thompson Grain, P.O. Box 36 2 Merrick Circle Manchester, NY 14504

Subtotal:

NYS 7% Sales Tax :

Shipping/Handling:

Total:

Shipping Information:

Name:

Address:

City:

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