Your Country Store
Pie Order Form
Gardner Pies

Name: ___________________________
Phone: ___________________________
Requested Date for Pick – Up _________
____ Pumpkin @ $9.99 ea ________
____ Blueberry @ $10.99 ea ________
____ Southern Pecan @ $12.99 ea ____
____ Apple Cinnamon @ $9.99 ea ____
____ Cranberry Apple @ $9.49 ea____