Name______________________________________________Phone(Voice)
______________________________ Phone(Fax) ______________________
email_______________________________________________Date
_____________________________ Ordered______________Received____________
To place an order, fill in
the form below with information from the catalog corresponding to the columns
in the catalog.
For example:
073472001691
FOOD FOR
LIFE BREAD WFGF RICE BROWN 24.00
OZ 6 (this is the number
per case) 3.41
Submitting this form indicates your agreement to follow all policies of
Bare Essentials Natural Market’s Case Club.
|
UPC (twelve digits) (A) |
UM (B) |
# Cases |
Brand/Product (C&D) |
Size (E) |
CatWhlse (F) |
Inv Whsle (BE Use Only) |
Extended (BE Use Only) |
|
073472001691 |
6 |
2 |
FFL
Bread WF/GF Rice Brown |
24 oz |
3.41 |
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Subtotal |
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10% |
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Pretax Total |
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