Nelson Cheese & Deli 1562 Como Ave. St. Paul, Mn 55108 (651)647-1288 Fax (651) 644-2060
SHIPPING DATE_____________________ ORDER TOTAL $___________________ CLERK____________
CHEESE BOX SHIPPING FORM
YOUR NAME:____________________________________ PHONE:_________________________________
ADDRESS:___________________________________________________________________________________
CITY____________________________________________ STATE___________ ZIP_____________________ METHOD OF PAYMENT: PAID CASH, PAID CHECK, VISA, MASTER CARD (circle one) CC#_____________________________________________ EX DATE_________ ZIP CODE_______________
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SEND MY GIFT TO:
SHIP TO:______________________________________________ PHONE:_____________________________ ADDRESS:(NO P.O. BOXES) _____________________________________________________________________________________________
CITY:_________________________________________________ STATE:___________ ZIP:_______________
ITEM NAME:_____________________________________________________ PRICE:____________________ GIFT CARD MESSAGE:
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SEND MY GIFT TO:
SHIP TO:______________________________________________ PHONE:_____________________________ ADDRESS:(NO P.O. BOXES) _____________________________________________________________________________________________
CITY:_________________________________________________ STATE:___________ ZIP:_______________
ITEM NAME:_____________________________________________________ PRICE:____________________ GIFT CARD MESSAGE:
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SEND MY GIFT TO:
SHIP TO:______________________________________________ PHONE:_____________________________ ADDRESS:(NO P.O. BOXES) _____________________________________________________________________________________________
CITY:_________________________________________________ STATE:___________ ZIP:_______________
ITEM NAME:_____________________________________________________ PRICE:____________________ GIFT CARD MESSAGE:
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| Nelson Cheese Factory | 651-647-1288 |