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