Order Form
Five Easy Ways to Order
1.
Fill out form below to order online.
(Temporarily unavailable)
DATE:
/
/
2. Call us at (630) 377-6196
Purchase Order #
(if applicable)
:
3. Fax us at (630) 377-6321 by
downloading
and printing the
order form with Adobe Acrobat Reader Version 4.0.
If you don't have Adobe Acrobat Reader 4 or higher,
click here
and follow download instructions.
4. Mail downloaded form to:
Wildlife Cookie Company
P.O. Box 1158
St. Charles, IL 60174
5. E-mail us at sales@wildlifecookie.com
Bill to Information
Ship to Information
Company Name:
Company Name:
Attention:
Attention:
Address:
Address:
City:
State:
Zip:
City:
State:
Zip:
Phone: (
)
Fax: (
)
Phone: (
)
Fax: (
)
E-mail:
E-mail:
Resale Number
(if applicable)
:
Credit Card #:
Exp. Date:
/
/
Special Instructions
(optional)
:
Shipping Instructions
(optional)
:
To calculate total price, use the following formula:
(# of Cases) x (Units Per Case) x (Unit Price) = Total
Product Name
# of Cases
Units Per Case
Unit Price
Total
Terms: Net 30 days upon delivery of order or credit card.
Floor and counter displays are available at no cost.
Shipping
FREE
Total
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