Order Form

ORDER BY MAIL
Adirondack Cheese Company Inc.
P.O. Box 300
Yorkville, New York 13495-0300
ORDER BY PHONE TOLL FREE 800-211-3345
ORDER BY FAX 315-736-0750
available 24 hrs a day
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Ship To________________________________________ Street________________________________________ City______________________State_____Zip________ Quantity____Pack No.____Price______Total_______ Quantity____Pack No.____Price______Total_______ Gift Card To Read______________________________ Ship Now___Other_______________________________ |
Ship To________________________________________ Street________________________________________ City______________________State_____Zip________ Quantity____Pack No.____Price______Total_______ Quantity____Pack No.____Price______Total_______ Gift Card To Read______________________________ Ship Now___Other_______________________________ |
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Ship To________________________________________ Street________________________________________ City______________________State_____Zip________ Quantity____Pack No.____Price______Total_______ Quantity____Pack No.____Price______Total_______ Gift Card To Read______________________________ Ship Now___Other_______________________________ |
Ship To________________________________________ Street________________________________________ City______________________State_____Zip________ Quantity____Pack No.____Price______Total_______ Quantity____Pack No.____Price______Total_______ Gift Card To Read______________________________ Ship Now___Other_______________________________ |
BUYER INFORMATION
Name____________________________________________________________________________________
Street____________________________________________________________________________________
City________________________________________State________________________Zip______________
Phone(_________)____________________________
Make Checks payable to: Adirondack Cheese Company
CREDIT CARD INFORMATION
Charge My: ____VISA..... ____MasterCard..... ____American Express..... ____Discover
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Expiration Date_______________ Authorized Signature___________________________________
Today's date_______________ Order received by__________________________________________