ORDER FORM

To order any of the previous pickle items, please print out this form, and complete all
appropriate areas. Please allow 2 to 4 weeks for delivery.

Quantity Package Name Price
  It's Pickle Time  
  Pickle Putter / Left-Handed  
  Pickle Putter / Right-Handed  
  Pool Pickle  
  Fashion Pickles (2 pair per order)  
  Golf Balls  
  Pickle Ball Tournament Set  
  Pickle Paper Cube with Pickle Pencil  
  Wristband – I Love Pickles (Qty: 10, 50, 100, 500 or 1,000)  

Merchandise Subtotal

               

 Shipping and Handling Add 25%

 

Total
  

 

 

Ordered by (please print):

Residential Delivery :
Yes
No

Name
 Address
City/State/Zip
Phone
Method of Payment:

Check
Charge Card (V, MC, Discover)
Card Number:
Expiration Date:
Signature:


Mail to:
Att: H. Jones
Pickle Packers International, Inc.
1620 I St., NW, Suite 925
Washington, D.C. 20006 USA



Fax to:
202.463.8998
(credit card orders only)