ORDER FORM
For 24 2.5 oz size tubs
ORDER FORM 2.5oz
PURCHASER
Name: _____________________________
Street:
Town:
State:_______ Zip:__________
Phone #:___________________ Email_________________________
SHIP ORDER TO:
Name:_______________________________
Street:
Town:
State___________ Zip________
Phone #_________________ Email_______________________
SHIPPING AND HANDLING(check time zone in which package will be delivered):
TIME ZONE:
EASTERN_______CENTRAL_______MOUNTAIN_______PACIFIC_______
SHIPPING COST:
EASTERN______CENTRAL_______MOUNTAIN_______PACIFIC_______
2 DAYS $15.00 2 DAYS $18.00 3 DAYS $36.00 3 DAYS $40.00
Orders for Alaska or Hawaii email for quote:
REQUESTED MONDAY SHIP DATES:
MONTH ______________ DATE__________
Order here for ONE case of 2.5 oz little tubs(each case is a separate order ):
Total 2.5ozlittle tubs (must equal 24 tubs): ______
ORDER QUANTITY by: little tubs 2.5oz size tubs(24 count):
Squire Mtn Original CHEDDAR Tub Cheese _______
Squire Mtn OLIVE & PIMENTO Tub Cheese _______
Squire Mtn GARLIC & HERB Tub Cheese _______
Squire Mtn HORSERADISH Tub Cheese _______
Squire Mtn BACON CHEDDAR Tub Cheese _______
Squire Mtn PORT WINE Tub Cheese
Product cost: $ 60.00___________
Shipping cost: $_______________
SUB-TOTAL: $_______________
less coupon: $_______________
ORDER TOTAL: $_______________
MAIL TO: SQUIRE MOUNTAIN, LLC, P.O. BOX 149, STANDISH, ME. 04084
MAKE CHECK OR MONEY ORDER PAYABLE TO SQUIRE MOUNTAIN ,LLC
TO PRINT FORM CLICK ON DOCUMENT...OPEN...
PRINT.
Mail with a check or money order.
