Print and complete this form and e-mail to:
Cascade Homebrew & Wine Supply PO Box 742, 2030 Tacoma Ave Bridgeport, WA 98813 Phone: 509-686-8124thebox49@hotmail.com
Name: __________________________________________________________ Address: __________________________________________________________ __________________________________________________________ City: _______________________________ State: ___ Zip: ________
(Only if different from billing address)
Name: __________________________________________________________
Address: __________________________________________________________
__________________________________________________________
City: _______________________________ State: ___ Zip: ________
Email Address: _______________________________________________
Daytime Telephone: _______________________________________________
Evening Telephone: _______________________________________________
PAYMENT INFORMATION:
CHECK OR MONEY ORDER PAYABLE TO: Cascade Homebrew
VISA___ MASTERCARD___
Expiration Date (required) Mo/Yr._____________________
Card No. __________________ Cardholder Signature____________________________
Item Unit
Description Price Subtotal
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Subtotal __________
WA Residents Only, Add 7.6% Sales Tax __________
Shipping and Handling - See Below __________
TOTAL ORDER __________
SHIPPING CHARGES: Usually under $12.00 for most large packages to almost anywhere.
Call or e-mail me your order first so that I can
accurately determine your shipping costs. I won't charge you a minimum flat fee - who
wants to pay $5.00 shipping if all you want is a packet of yeast? It'll only take
moments to calculate your shipping cost. If you are paying by credit card and want to
know the charges before we ship, please specify so. Otherwise we will immediately ship
all credit card orders as soon as we receive them. If you plan to pay by check or money
order, you must wait until you hear from us by e-mail or telephone as to what your grand
total is so that the amount you pay is exact. Thank you!
NSF fee: $25.00