Firewood Order Form Firewood Order Form - Testing Geolocation V2 "*" indicates required fields Name First Last Best phone number at which to reach you*Delivery Address Street Address Address Line 2 City ZIP Code Your email address*We will send you a receipt via email to the email address you specify here. What kind of order would you like to place?* Cords Only - For Delivery Bundles Only - For Pick-up Both How much firewood would you like?* 1/2 cord $270 1 cord $390 2 cords $750 Firewood Bundles (1.3 Cubic Foot) $8.00/each *For pick-up only Quantity Price: $8.00 Quantity Please tell us where you would like us to the leave the firewood at the time of delivery*Firewood will be dumped at desired location out of the box truckPrice & Payment Information A $50 non-refundable deposit is required for all firewood orders. If you cancel your order, any remaining funds will be issued via check. HiddenGeocoderHiddenGeocoderHiddenDistance (RT HIDDEN)Distance (Round trip from the LAM Yard)Delivery FeeBased on your delivery address, we have added a delivery fee of $4.00/mile for every mile beyond a 15-mile round trip from the LAM yard. Price: $0.00 TotalNote that a delivery fee of $4.00/mile has been added if your delivery address is over 15 miles round trip from the LAM yard. Do you want to pay the total price?* Pay the total amount Pay the deposit of $50 How would you like to pay the remaining balance?*You will receive a separate invoice to settle the remaining amount. Credit Card Check $50 non-refundable deposit* Price: Remaining BalanceHiddenTotal Price Minus DFCredit Card*Please fill out all information for your credit card, including the expiration date and CVC security code found at the right of the Card Details field below.Card Details Cardholder Name EmailThis field is for validation purposes and should be left unchanged.