Personal Order Form
Order Date
Date
Month
Year
Day Of Week
INSTRUCTIONS      

1. Fill out order starting with order date.

2. Select product and quantity of each.

3. If the total order of this entire page is over 15 packs, then
you get all the products at $4.00 per pack instead of $5.00
per pack.

4. Once you have entered all the orders, press submit.

5. If you press reset, you have to start from the beginning.
First Name
Last Name
E-Mail Address
Address
Phone
Product Selection
Qty
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
11
Total Packs
Order Total@$4.00/PK
Order Total@$5.00/PK
Specialty Meats  Delivered
Fresh To You
On Line
Ordering
915-2592
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