-UPS Free Shipping!!!!!!! GREEN US$35 PINK US$125		WILLMAR INTERNATIONAL MAIL/FAX EASY ORDER FORM Contact Us for a Price List !!!!!!! PRICE -AVAILABILITY-SELECTION-CONVENIENCE FREIGHT INCLUDED for USA Mainland Destinations
		Mail to: Willmar International P.O. Box 456 Ada, MI. 49301 USA   TELEPHONE: 616-676-1792 FAX: 616-676-1287 Email: sales@willmarinternational.com

WILLMAR MAIL/FAX Easy Order Form
Print and use this form when ordering by mail or fax(FAX: 1-616-676-1287)
Please Specify by Circling Green Price List Minimum US$35.00               or Pink Price List Minimum US$125.00

• Ship to : Name: _________________________________________________________
• Address: ______________________________________________________________
• City: _________________________________________ State: _____ Zip: __________
• Telephone: __________________________ Fax: ______________________________
• E-mail Address: _________________________________________________________
• Method of Payment: Money Order, COD, VISA, Master Card, Discover, AmExpress  ( circle one )
• Credit Card Number: ____________________________________ Exp. Date: _______
• Name on Card: _________________________________________________________
• Card Address:  _________________________________________________________
• City: __________________________________________ State: _____ Zip: _________
• Telephone: _________________________ Fax: _______________________________
• Authorized Signature: _______________________________________ Date:________

To Request a Printed Price List or additional information, send us an email from this web page at the address below. Please specify Client's Price List (Green) or Retailer Price List (Pink). Please include your name, address, city, state, zip, and which price list in the email and we will send you the price list. We can also email the price list to you as an attachment file over the internet.

Contact us by mail or fax at: Address: Willmar International P.O. Box 456 Ada, MI. 49301 USA TELEPHONE: 616-676-1287 TELEPHONE: 616-676-1792 FAX: 616-676-1287