DISTRIBUTOR PRICE $.55 / 12 TUB MIN. INCLUDES SHIPPING TO WAREHOUSE / DROP SHIP EXTRA / SHIPPED AUGUST 2010/ LAST SHIP DATE DEC 1ST.

SUBMIT OR PRINT FORM & FAX TO; 505-345-5251 / 12 TUB MINIMUM.

	JUMPING BEANDITO TUBS 144 Boxes / 86.40 /.60 unit $
	TOTAL MERCHANDISE ...........................................................$

NOTE:	Domestic orders shipped UPS ground / Foreign orders shipped airfreight. Foreign Shipping and Customs paid by buyer /Please call 1-888-485-2159
TERMS	PAYMENT DUE UPON RECEIPT / COD / PRIOR PAYMENT PLAN
	BILLING
*Customer*	Resale#
Date	Contact/ PO#

Credit Card	*Visa / MasterCard / Amer Exp. Use 19 digit # on back of card*
Cardholder
Card Number	Exp. Date

Address
City	State/Province Zip Country
Phone	Fax

Email
	*BILLING ADDRESS IF DIFFERENT THAN SHIPPING*
Address
City	State/Province Zip Country
Ship date	Special Instructions

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Soledad "The Jumping Bean Queen"
Last revised: July 16, 2010