ORDER FORM
For twelve 6oz size tubs
ORDER FORM 6oz
PURCHASER:
Name: _______________________________
Street________________
State:_______ Zip:__________
Phone #:_____________________ Email____________________
SHIP ORDER TO:
Name:______________________________________
Street________________________
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 quotes:
REQUESTED MONDAY SHIP DATES:
MONTH ______________ DATE__________
Order here for ONE case of 6oz Tub Cheese(each case is a separate order ):
Total 6oz Tubs Cheese (must equal 12 tubs):
ORDER QUANTITY by:
Tub Cheese 6oz size (12 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.
