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Heilman’s Nuts & Confections
Toll-Free 1-800-954-NUTS (6887)
1804 S. Westnedge Avenue
Kalamazoo, MI 49008-1933 |
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269-383-1188
Fax: 269-383-0009
Email: |
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Sent by: (Billing Address)
Name
Address
City
State/Zip
Person Ordering
Phone (day) ( ) - ext.
Phone (night) ( ) -
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Sold By:
Check
Bank Charge (V – M – D )
Account #
Exp. Date _/ __ V Code
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Date Ordered
Date Shipped
UPS Tracking #
(Shaded areas for office use only)
web site: www.nuts2you.com |
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SPECIAL INSTRUCTIONS:
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Send to: If gifting to more than 3 addresses, use additional order form.
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Item # |
Description |
Price ea |
Total |
Ship to Arrive: |
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Now |
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Christmas |
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Other Date |
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Greeting: |
Sub-total
Mich. Sales Tax (6%)
Shipping
Total: |
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Date shipped |
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init. |
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Name |
Qty |
Item # |
Description |
Price ea |
Total |
Ship to Arrive: |
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Address |
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Now |
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City |
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Christmas |
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State Zip |
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Other Date |
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Greeting: |
Sub-total
Mich. Sales Tax (6%)
Shipping
Total: |
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Date Shipped |
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init. |
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Name |
Qty |
Item # |
Description |
Price ea |
Total |
Ship to Arrive: |
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Address |
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Now |
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City |
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Christmas |
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State Zip |
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Other Date |
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Greeting: |
Sub-total
Mich. Sales Tax (6%)
Shipping
Total: |
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Date Shipped |
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