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CORRECT PART NUMBERS, DESCRIPTIONS AND THE QUANTITY ARE VITAL FOR RECEIVING THE PROPER SUPPLIES

Shipping & Handling Prices Apply Only For Orders Within Continental U.S. And Are Shipped UPS Ground
In Stock Items Will Be Shipped As Soon As We Receive The Order. Allow 7-10 for Delivery
If you would like your orders Faster Please Specify In Comments Box And We Will Contact You For Pricing

Quantity               Part #                                           Description                                      Price              Extension


 





                                                                                                             Subtotal______________________________

                                                                                                            Shipping & Handling* __________________

                                                                                                            Total_________________________________

*Shipping and Handling figured below

(determined by subtotal amount)

$0-75.00 Subtotal=13.95 Shipping & Handling 

$75.01-500.00 Subtotal=13.95 Shipping & Handling 

$500.01 & Up=FREE Shipping and Handling 

All prices are in U.S. dollars

Shipping Address:

First Name:___________________________________

Last Name:____________________________________

Company Name:________________________________

Street Address: Line 1____________________________

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                         Line 3______________________________

City:____________________________________________

State/Provence:____________________________________

Zip/Postal Code___________________________________

Country:_________________________________________

Phone Number:____________________________________

 

Billing Address:

(Fill out only if different than shipping address) 

First Name:___________________________________

Last Name:____________________________________

Company Name:________________________________

Street Address: Line 1____________________________

                         Line 2_____________________________

                         Line 3______________________________

City:____________________________________________

State/Provence:____________________________________

Zip/Postal Code____________________________________

Country:_________________________________________

 

Payment Information:

Card Type:_______________________________________

Card Number:____________________________________

(1234 1234 1234 1234)

Expiration Date:__________________________________

(MM/YY)

Name On Card:__________________________________

Email Address:_______________________________________________________

 

Comments:____________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

 Thank you for your order.

Please use street address and not P.O. Boxes

Send Cashiers Check or Money Orders to
Giles Dairy Service
Attn: Jeremy
351 West 900 North
Springville, Utah 84663
USA
Phone: 1(801)477-0692
Fax 1-801-489-0760