ORDER FORM
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Item
Number

Economical Coffee Flavorings' "Refill Bottle", 16 ozs. (No Pump) Choose 3 of 11 flavors (Write Flavors In Below)

 Each
Price		 Quantity Total
($U.S.)
    @ $37.70 =    
Item
Number

Economical Refill 16 oz Bottle Pump - for flavoring airpots

 Each
Price		 Quantity Total
($U.S.)
  Refill 16 oz Bottle Pump @ $2.25 =    
Item
Number

Economical Iced Tea Flavorings "Refill Bottle", 16 ozs. (No Pump)

 Each
Price		 Quantity Total
($U.S.)
  Guava-Passion Fruit-Mango @ $37.70 =    
  Mango-Orange-Passion Fruit @ $37.70 =    
  Peach @ $37.70 =    
  Raspberry @ $37.70 =    
Item
Number

Weldon Iced Tea/Water Flavor Station "Counter Caddy"

 Each
Price		 Quantity Total
($U.S.)
#3106 Choose 3 of 4 flavors (Circle flavor choices below)
Guava-Passion Fruit-Mango
Mango-Orange-Passion Fruit
Peach
Raspberry		 @ $35.50 =    
Item
Number		 Iced Tea/Water Flavorings, 4oz. Bottle with pump Each
Price		 Quantity Total
($U.S.)
  Guava-Passion Fruit-Mango @ $10.50 =    
  Mango-Orange-Passion Fruit @ $10.50 =    
  Peach @ $10.50 =    
  Raspberry @ $10.50 =    
Item
Number

The Weldon Gourmet Flavor Station ™
3 (4oz.) Bottles with Pumps & Counter Caddy

 Each
Price		 Quantity Total
($U.S.)
#4106 Choose 3 of 11 flavors (Write Flavors In Below Anywhere) @ $35.50 =    

Item
Number

Acrylic Rack & 3 (4oz.) Bottles with Pumps

 Each
Price		 Quantity Total
($U.S.)
#5106 Choose 3 of 11 flavors (Write Flavors In Below Anywhere) @ $35.50 =    

Item
Number		 Single Bottles/118 Servings Each
Price		 Quantity Total
($U.S.)
#2549 Amaretto, 4oz. Btl. with Pump @ $10.50 =    
#8745 Blueberry Pancakes, 4oz. Btl. with Pump @ $10.50 =    
#2550 Caramel Crème, 4oz. Btl. with Pump @ $10.50 =    
#2556 Caramel Nut, 4oz. Btl. with Pump @ $10.50 =    
#2557 Chocolate Mint, 4oz. Btl. with Pump @ $10.50 =    
#2551 Chocolate Raspberry, 4oz. Btl. with Pump @ $10.50 =    
#2552 Cinnamon, 4oz. Btl. with Pump @ $10.50 =    
#8535 Coffee Cake, 4oz. Btl. with Pump @ $10.50 =    
#2553 French Vanilla 4oz. Btl. with Pump @ $10.50 =    
#2555 Hazelnut, 4oz. Btl. with Pump @ $10.50 =    
#2554 Irish Crème, 4oz. Btl. with Pump @ $10.50 =    

Item
Number		 Organizer Racks Each
Price		 Quantity Total
($U.S.)
#0051 Wire Rack for Counter/Black (Holds 3 (4oz) Btls) @ $5.00 =    
#0049 Acrylic Rack/Holds 3 (4oz) Btls. @ $5.00 =    

Item
Number		 Sampler Pack/All 8 Flavors(.75 oz. Btls.) Each
Price		 Quantity Total
($U.S.)
#9999
-		 Amaretto, Caramel Crème, French Vanilla, Irish Crème, Hazelnut, Cinnamon, Caramel Nut, Chocolate Raspberry @ $24.95 =    

Item
Number		 Sampler Pack/4 Flavors(.75 oz. Btls.) Each
Price		 Quantity Total
($U.S.)
#9991 Hazelnut, Fr. Vanilla, Caramel Crème, Chocolate Raspberry @ $14.00 =    
#9992 Amaretto, Irish Crème, Fr. Vanilla, Caramel Creme @ $14.00 =    
#9993 Chocolate Raspberry, Cinnamon, Fr. Vanilla, Caramel Nut @ $14.00 =    

Item
Number		 Grande Italia Espresso Each
Price		 Quantity Total
($U.S.)
#9994 Grande Italia Espresso Beans, 2 lb. @ 18.50 =    
#9995 Grande Italia Decaf Espresso Beans, 1 lb. @ 9.95 =    
         
Shipping and Handling in U.S. by Total (Minimum order of 4 bottles)
  
0.01 to 29.94 =
 6.50
29.95 to 54.90 =
 8.50
54.91 to 89.85 =
 10.50
89.86 to 120.00 =
 13.50
120.01 to and up =
 15.50
 TOTAL  ORDERS
  
Discount Code: (if applicable)
 

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Mail to: Weldon Flavorings, P.O. BOX 91555, LOUISVILLE, KY  40291-0555
If paying by Check or Money Order, make payable to the Weldon Flavorings
or send Fax to:502-618-1967
Weldon Flavorings products are guaranteed to be of the finest quality.   We welcome your feedback and product testimonials.  Our E-mail address is sales@WeldonFlavorings.com