Name:____________________________  (______)___________________
                                              Home Phone:
Street Address:____________________________

               ____________________________  (______)___________________
                                              Work Phone:
               ____________________________

               ____________________________ E-mail______________________

Method of Payment:  || Check || Credit Card
Credit Card Info: (Visa, and Master Card only)

Card Company:_______________________ Card Number: _______________________

Card Expires:_______________________ Name on Card:_______________________

Card Billing Address:____________________________________________________

  Item#       Qty.       Description      Price  Shipping    Total

 1._________ ___________ ______________   ______  ______     _______ 

 2._________ ___________ ______________   ______  ______     _______ 

 3._________ ___________ ______________   ______  ______     _______ 

 4._________ ___________ ______________   ______  ______     _______ 

 5._________ ___________ ______________   ______  ______     _______ 

 6._________ ___________ ______________   ______  ______     _______ 
   
 7._________ ___________ ______________   ______  ______     _______ 
 
 8._________ ___________ ______________   ______  ______     _______ 
    

UPS Shipping Rate= (see Shipping Charges)

Need Help With Shipping Costs? Click Here To E-Mail Us!
Notice: UPS is now charging $5.00 for their non-standard package fee. 

To escape this fee Grandma's pantry is charging $2.00 to put your buckets in heavy duty 

cardboard boxes. The $5.00 fee still applies for 15 & 55 gallon water drums.

____Drums/Bucket Stacks X $5.00=_______ (Not Req. for Freight)
            ____Buckets X $2.00=_______ (UPS Boxing Fee. Mail & freight not required.)
                Handling Fee:  +_$3.00_
            UPS Shipping Rate  +_______  (see Shipping Charges at  UPS)

____________: _____________ + ___________ + _________ = ___________ 
TOTAL WEIGHT  GOODS TOTAL   DELIVERY COST   SALES TAX   GRAND TOTAL




HomeShipping/PricesFoodKitchen Contact