COUGAR CHEESE ORDER FORM - Fill it out and Print it out
BUYER NAME
MAILING ADDRESS
SHIPPING ADDRESS
(IF DIFFERENT)
CITY
STATE
ZIP
PHONE
FAX
EMAIL
SHIP TO ARRIVE:
ASAP
Other Special Date
:
Quantity
Quantity
Quantity
Cougar Gold
Natural Cheddar
Smoky Cheddar
Viking
Dill Garlic
Sweet Basil
Hot Pepper
Crimson Fire!
GIFT ORDER (SHIP TO):
NAME
SHIPPING ADDRESS
CITY
STATE
ZIP
PHONE
SHIP TO ARRIVE:
ASAP
Other Special Date:
GIFT MESSAGE
Quantity
Quantity
Quantity
Cougar Gold
Natural Cheddar
Smoky Cheddar
Viking
Dill Garlic
Sweet Basil
Hot Pepper
Crimson Fire!
PAYMENT
COST OF CHEESE
Total # of cans shipped
x $20
=
$
SHIPPING & HANDLING
# of addresses shipped to
x $8 =
$
Total # of cans shipped
x $2 =
$
Total Due
$
Check or money order enclosed (Payable to WSU Creamery)
Charge total amount to
VISA
or Mastercard #
Expiration Date
Signature for credit card_________________________________________
Phone: 800-457-5442 / 509-335-4014, Monday-Friday, 8:30am - 4:30pm PST
FAX: 800-572-3289 / 509-335-6775, 24 hours, 7 days a week
Mail: WSU Creamery, PO Box 641122, Pullman WA 99164-1122 - Prices last updated:
7/1/12