The Patrick Mint Logo

Order Form

To order any of our products, you can either call us at (707) 538-7485, or follow the instructions below.

Simply fill out this form, print it out, and send it to us at:
The Patrick Mint, C/O Web Department
P.O. Box 3486
Santa Rosa, CA 95402

Billing Address:

Name Street City State or Province Zip Country

Shipping address if different from above:

NOTE: If the Shipping address is the same as the Billing address, just type "Same"

Name Street City State or Province Zip Country Email Phone number

Please send me the following items:

Quantity Description Amount 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. NOTE: Shipping charges are: Subtotal Continental U.S. $3.00 Shipping Alaska, Puerto Rico and Hawaii $5.00 TOTAL:

  • Return to The Patrick Mint Home Page

    You can call us at (707) 538-7485 FAX us at (707) 538-7485 or email us at

    Copyright ©1997 The Patrick Mint. All Rights Reserved