Mail-in/Fax Form

Apply By Fax/Mail

To apply by fax, print this page first, then fill in form and fax the completed form to:
Fax#(410)827-5705

To apply by mail, print this page first, then fill in form and mail the completed form with your payment (check, money order or credit card) to:
Mail : Fisherman's Village PO Box 118 Grasonville, MD 21638

Ship to: ( Please Print Clearly)

Your Name

Address

City State Zip

Daytime Phone (Please Include Area Code)

Check___ Money Order___

Charge to: ___VISA___AMEX___Discover___MC

Account# Expiration Date

Signature X
*Please use correct Order Form! Certificate's can only be redeemed
from the restaurant issued.

Fisherman's Inn Order Form *Certificates good for Fisherman's Inn & Gift shop			Crab Deck Order Form *Certificates good for Crab Deck & Seafood Market
Certificate	Quantity	Total$	Certificate	Quantity	Total$
$10.00			$10.00
$25.00			$25.00
$50.00			$50.00
$75.00			$75.00
$100.00			$100.00
Total=			Total=
Grand Total (From Both Forms)=

We gladly accept

Fisherman's Village

Fisherman's Inn - (410)827-8807
Fisherman's Crab Deck - (410)827-6666
Fisherman's Seafood Market - (410)827-7323
3116 Main Street
Grasonville, MD 21638
Kent Narrows
WEBSITE