OFFICE ORDER FORM
Buyer's Name: ________________________________________
Buyer's Billing Address: _________________________________
Buyer's Telephone:
Date of Order:_______________
_________________________________
_________________________________
____________________________________
NAME AND ADDRESS
PLEASE TYPE OR PRINT. SEE REVERSE SIDE FOR GIFT PACK
CONTENTS AND SHIPPING INFORMATION.
PLEASE SHIP FOR
SEND TO _______________________________________
STREET ADDRESS _______________________________
________________________________________________
___ EASTER
___ THANKSGIVING
___ CHRISTMAS
______________
Specific Date
________________________________________________
------------------------------GIFT MESSAGE/FROM ____________________________
___ PICK-UP
________________________________________________
Buyer's Email: _________________________
QUANTITY
TOTAL COST
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______Five Pepper Jelly Pack $16.99
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______ Condiment Pack $17.99
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______ Chow Chow Pack $20.99
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______ Salsa Pack $20.99
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______ Hunter's Gift Pack $22.99
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______ Spice Gift Pack $22.99
PRODUCT TOTAL: _________
SHIPPING & HANDLING: _________
______ Blackberry Pack $16.99
______ Blueberry Pack $16.99
______ Strawberry Pack $16.99
______ Jam Pack $16.99
______ Jelly Pack $16.99
______ Preserve Pack $16.99
______ Mayhaw Jelly Pack $16.99
______ Muscadine Jelly Pack $16.99
______ Southern Jelly Sampler $16.99
______ Breakfast Honey Gift Pack $22.99
______ Coffee and Honey Gift Pack $25.99
______ Jelly Honey Pack $20.99
______ Coffee Variety Pack $67.99
Add 7% sales tax for MS address. SALES TAX:
________
SUBTOTAL: ________
SEND TO _______________________________________
STREET ADDRESS _______________________________
________________________________________________
___ EASTER
___ THANKSGIVING
___ CHRISTMAS
______________
Specific Date
________________________________________________
------------------------------GIFT MESSAGE/FROM ____________________________
___ PICK-UP
________________________________________________
______ Blackberry Pack $16.99
______ Blueberry Pack $16.99
______ Strawberry Pack $16.99
______ Jam Pack $16.99
______ Jelly Pack $16.99
______ Preserve Pack $16.99
______ Mayhaw Jelly Pack $16.99
______ Muscadine Jelly Pack $16.99
______ Southern Jelly Sampler $16.99
______ Breakfast Honey Gift Pack $22.99
______ Coffee and Honey Gift Pack $25.99
______ Jelly Honey Pack $20.99
______ Coffee Variety Pack $67.99
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
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______ Five Pepper Jelly Pack $16.99
_________
______ Condiment Pack $17.99
_________
______ Chow Chow Pack $20.99
_________
______ Salsa Pack $20.99
_________
______ Hunter's Gift Pack $22.99
_________
______ Spice Gift Pack $22.99
_________
PRODUCT TOTAL: _________
SHIPPING & HANDLING: _________
Add 7% sales tax for MS address. SALES TAX:
________
SUBTOTAL: ________
____ Check or Money Order is enclosed.
For the amount of $____________
Payable to MAFES SALES STORE
No C.O.D Shipments
CREDIT CARD ACCOUNT NO.
Expiration Date
PLEASE INCLUDE CREDIT CARD NUMBER &
EXPIRATION DATE WITH CHARGE ORDERS!
Signature X ____________________________
HERZER FOOD SCIENCE BLDG., 925 STONE BLVD. * P.O. BOX 6109 * MISSISSIPPI STATE, MS 39762
Phone: (662) 325-2338 * Fax: (662) 325-9687 * www.msucheese.com * email: [email protected]
Order products on the INTERNET: www.msucheese.com
Order by FAX: (662) 325-9687. DO NOT MAIL A COPY OF YOUR FAX ORDER. We cannot be responsible for
duplicate orders.
Order by MAIL: P.O. Box 6109, Mississippi State, MS 39762
PAYMENT: Payment must accompany order. Products are not reserved or shipped without payment. Prices may
change without notice.
EXCHANGE POLICY: We cannot change or cancel paid orders. We cannot make refunds.
GIFT MESSAGE: Please provide a message and signature for each gift address. If none is provided, we will use the
name as it appears on the front of this order form.
PRIVACY: The MAFES Sales Store will not sell or lease customer information.
Please copy this form as needed for additional names and addresses or attach your own gift list.
GIFT PACK INFORMATION:
Bully's Blackberry Pack: 1 jam, 1 jelly, 1 preserve
Bully's Blueberry Pack: 1 jam, 1 jelly, 1 preserve
Bully's Strawberry Pack: 1 jam, 1 jelly, 1 preserve
Bully's Jam Pack: 1 blackberry, 1 blueberry, 1 strawberry
Bully's Jelly Pack: 1 blackberry, 1 blueberry, 1 strawberry
Bully's Preserve Pack: 1 blackberry, 1 blueberry, 1 strawberry
Bully's Mayhaw Jelly Pack: 3 mayhaw
Bully's Muscadine Jelly Pack: 3 muscadine
Bully's Southern Jelly Sampler: 1 mayhaw, 1 muscadine, 1 scuppernong
Bully's Breakfast Honey Gift Pack: 1 biscuit mix, 1 blackberry preserve, 1 sweet potato coffee (1.75 oz.), 1 sourwood honey
Bully's Coffee and Honey Gift Pack: 1 blueberry jam, 1 sweet potato coffee (10.25 oz.), 1 sourwood honey
Bully's Jelly Honey Pack: 1 mayhaw, 1 muscadine, 1 sourwood honey
Bully's Coffee Variety Pack: 10 blueberry cobbler, 10 bulldog brew, 10 sweet potato (1.75 oz. bags)
Bully's Five Pepper Jelly Pack: 3 five pepper
Bully's Condiment Pack: 1 mild chow chow, 1 mild pepper jelly, 1 five pepper jelly
Bully's Chow Chow Pack: 3 mild chow chow
Bully's Salsa Pack: 1 cilantro, 1 mild chow chow, 1 picante
Bully's Hunter's Gift Pack: 1 gunpowder, 1 redneck bbq, 1 3 gunslingers', 1 wild game
Bully's Spice Gift Pack: 1 bbq, 1 cajun, 1 lemon herb, 1 steak & rib
SHIPPING RATES PER ADDRESS:
BREAKFAST HONEY PACK, OR COFFEE AND HONEY PACK:
1 - $8.50 2 - $10.00 3 - $11.50. Charges repeat for every 3 gift packs.
ALL OTHER GIFT PACKS:
1 - $8.00 2 - $9.50 3 - $11.00 4 - $12.50. Charges repeat for every 4 gift packs.
Visit our retail store:
Herzer Food Science Building
925 Stone Boulevard
Mississippi State University Campus
300 yards south of Scott Field
HERZER FOOD SCIENCE BLDG., 925 STONE BLVD. * P.O. BOX 6109 * MISSISSIPPI STATE, MS 39762
Phone: (662) 325-2338 * Fax: (662) 325-9687 * www.msucheese.com * email: [email protected]