|
LAPPS BEES SUPPLY CENTER 500 S. MAIN ST., P.O. BOX 278, REESVILLE, WI. 53579 PHONE/FAX (920) 927– 3848 ~ ~ ~ 1-800-321-1960 Email: lappsbeesupply@yahoo.com |
|
DATE________________ , 20___ NAME______________________________________________________________ ADDRESS___________________________________________________________ CITY_________________________STATE___________ZIP CODE___________ PHONE ( )_____________________ COUNTY_________________________ |
|
CAT. NO. |
QTY |
DESCRIPTION |
UNIT PRICE |
TOTAL PRICE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total for Order |
|
|
Shipping Charges |
|
|
WI Residents Only |
|
|
Add 5-1/2% Sales Tax |
|
|
Amt. Due from Previous Order |
|
|
Total Amount ( add carefully) |
|
|
CHECK, MONEY ORDER |
|
|
REFUND VOUCHER |
|
|
Ship Wt. Lbs. Oz. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Wt. |
|
|
Lb. |
Oz. |
|
|
|
|
|
|
|
Total Wt In lbs. |
|
|
|
|
|
16 oz. = 1 lb. Count any remaining oz. As a full lb. |
|
|
|
|
|
NOTE: If we are temporarily out of any items ordered, Please check if you want canceled or back ordered. |
|
|
|
|
|
-- |
|
|
|
|
-- |
|
|
|
|
-- |
|
|
|
|
|
You may print out this page and fill out form. Just right click and select print. |