Werling and Sons Printable Order Form
100 South Plum St. Burkettsville, OH 45310 - USA
TOLL FREE Orders: 1-888-375-1998 - FAX Orders: 1-419-375-4187
E-Mail: orders@werlingandsons.com

Name: Last First MI
Mailing Address:  
Billing Address:  
City:  
State/Zip:  
Country:  
Telephone:  
E-mail:  

Description and # of cans
(Beef, Pork, Chicken, Turkey, Beef & Gravy, Seasoned (BBQ) Pork)
Qtty.

Price Each:
4-pk (14.5 oz.) = $14.85
12-pk (14.5 oz.) = $46.20
12-pk (28 oz.) = $65.40

 Item Total
       
       
       
       
       
       
       
       
  Subtotal:  
Shipping-4PK (14.5 oz.) 8.00
Shipping-12PK (14.5 oz.) 12.50
Shipping-12PK (28 oz.) 17.50
Total Due:  

Payment Method: (circle one)
VISA               MC               AMEX         DISCOVER
Name as it appears on card:
Credit Card Number:
Expiration Date: