Order Form
The Country Barn
Your One Source for Great Gifts
2869 Parkway | Pigeon Forge, TN | 37863
Phone: (423) 428-2896 | Fax: (888) 428-3773

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Ordering Information:                 

Please provide the following information:

Street address
Address (cont.)
Zip/Postal code
Work Phone
Home Phone

Item Description Price Quantity Ext. Price

Comments or Special Requests
Billing Method
Credit Card Number
Expiration Date
CVV Code*
*The CVV Code is a 3 digit code on back of the card in the signature strip on MasterCard or Visa or Discover. On American Express, this is a 4 digit code on the front of the card and above the Credit Card Number.
Card Holder Name
Card Holder Signature

Master Card Visa Money Order
Thanks for your Order!
We appreciate your business.


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