DEE'S PANTRY - Order Form


DEE'S PANTRY ORDER FORM
ITEM SIZE HOW MANY UNIT PRICE TOTAL
SUB TOTAL
LESS PROMO DISCOUNT (ENTER PROMO NUMBER LISTED ON CARD)
TOTAL
SHIPPING ADD 1.00 PER ITEM ORDERED
GRAND TOTAL
PLEASE NOTE: We only accept checks, or money orders at this time, sorry for the inconvience. We hope to be able to accept credit or debit cards soon. PLEASE SEND A CHECK OR MONEY ORDER TO :PO 1113 LUSK, WY 82225 ORDERS WILL BE SHIPPED UPON RECIEPT OF PAYMENT. AMOUNT ENCLOSED
COMMENTS
NAME
ADDRESS
CITY
STATE
ZIP CODE
EMAIL
PHONE

THANK YOU FOR YOUR ORDER