SUN PICKZ™ RETAIL ORDER FORM
Please enter contact information.
Name ____________________________
Address___________________________
City_________________________ State______________ Zip_________
E-Mail____________________________
Phone____________________ Fax______________________
Quantity
2 pack SUN PICKZ™@ $2.99 __________ X $2.99 = $__________
6 pack medium SUN PICKZ™ @ $5.99 __________ X $5.99 = $__________
6 pack thin SUN PICKZ™ @ $5.99 __________ X $5.99 = $__________
SUB TOTAL $__________
MI sales tax 6%__________
Please send Check or Money order and this completed form to: SUN PICKZ
GROSSE POINTE, MI 48230
Orders will be processed and promptly shipped.
As always, Thank you for choosing SUN PICKZ™
SPECIAL INSTRUCTIONS: