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_______________

SEND MY GIFT TO:

SHIP TO:______________________________________________    PHONE:_____________________________
ADDRESS:(NO P.O. BOXES)
_____________________________________________________________________________________________

CITY:_________________________________________________ STATE:___________ ZIP:_______________

ITEM NAME:_____________________________________________________  PRICE:____________________
GIFT CARD MESSAGE:




SEND MY GIFT TO:

SHIP TO:______________________________________________    PHONE:_____________________________
ADDRESS:(NO P.O. BOXES)
_____________________________________________________________________________________________

CITY:_________________________________________________ STATE:___________ ZIP:_______________

ITEM NAME:_____________________________________________________  PRICE:____________________
GIFT CARD MESSAGE:




SEND MY GIFT TO:

SHIP TO:______________________________________________    PHONE:_____________________________
ADDRESS:(NO P.O. BOXES)
_____________________________________________________________________________________________

CITY:_________________________________________________ STATE:___________ ZIP:_______________

ITEM NAME:_____________________________________________________  PRICE:____________________
GIFT CARD MESSAGE:




Nelson Cheese Factory | 651-647-1288