Country Store
and Florence Nightingale Gift Shoppe
Online Order Form

If you haven't done so already, go back to the store and jot down the information about the items you want to purchase. Then enter it on the form below.

SPECIAL OFFER: 10% will be taken off all merchandise (except $5 CDs and Florence Nightingale items) before adding shipping.

To cover shipping and handling costs, $6.00 will be added to each domestic order and $15.00 to each international order (for air post). On large or bulky orders, especially outside the US, we may need to charge special shipping rates. In that case we will contact you. If your order requires separate packages, such as a poster and a mug for instance, shipping and handling will be charged for each package.

Mastercard VISA
We accept VISA and Mastercard.

QuantityDescriptionItem NoSize/Style
Need more space? Just submit this order and then come back and submit a second order.

Name:
Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:
Phone:
E-Mail:

Please inscribe item(s) to:

Charge to: Mastercard Mastercard VISA VISA

Credit Card Number: Expiration Date:

This is not a secure server. While we have had no reported problems sending credit card information by e-mail, if you are uncomfortable doing so you can use our mail order form.

Your credit card statement will reflect a billing to Country Joe's Country Store. Orders will appear on your credit card bill in your currency. You can use the converter below to estimate equivalent prices in your currency.

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