100 Commercial Heights • PO Box 1255 • Fort Valley, GA 31030 • USA
Telephone: (478) 825-7733 or (800) 332-1505 Toll Free •  Fax: (478) 825-7708 www.jollynut.com • customerservice@jollynut.com
 
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Our Guarantee
  Customer Service and fine quality are our top priorities.
  We want you to be pleased and if for any reason you are not, just let us know.
  An exchange, refund or credit to your charge card will be promptly made.
 
© 2008
Jolly Nut Company
All Rights Reserved
 

 

Gift Order Form

PHONE TOLL FREE: (800) 332-1505  or  FAX: (478) 825-7708

 

ORDER FORM - for your Gift orders
(Use this form if you would like us to send gifts directly to others for you.
For orders to be shipped only to you, click here for the form).
Print this form and fax it to us, or use it as a guide for your call-in order.
 
Buyer's Name  
Company:
Street Address:
City, State, Zip:
Date:
Telephone:

Method of Payment

1

 Check
 Enclosed

 1

 

1

 

1

 

1

 
Credit Card #:
                               
Card Expiration Date: ______________________________________________________
Signature: _______________________________________________________________
 

GIFT NUMBER ONE
Name:  
Street:  
City, State, Zip:  
Telephone:  
Item#: _________________________ Amount (add 3% sales tax to items shipped to Georgia addresses:$____________________ 1 Enclose Card?
Card Message: _______________________________________________________________________________
Ship Order to Arrive: 1 Now 1 Other: _______________________

1 Commercial Address          1 Residential Address
 

GIFT NUMBER TWO
Name:  
Street:  
City, State, Zip:  
Telephone:  
Item#: _________________________ Amount (add 3% sales tax to items shipped to Georgia addresses:$____________________ 1 Enclose Card?
Card Message: _______________________________________________________________________________
Ship Order to Arrive: 1 Now 1 Other:________________________

1 Commercial Address          1 Residential Address
 

GIFT NUMBER THREE
Name:  
Street:  
City, State, Zip:  
Telephone:  
Item#: _________________________ Amount (add 3% sales tax to items shipped to Georgia addresses:$____________________ 1 Enclose Card?
Card Message: _______________________________________________________________________________
Ship Order to Arrive: 1 Now 1 Other: _______________________

1 Commercial Address          1 Residential Address
 

GIFT NUMBER FOUR
Name:  
Street:  
City, State, Zip:  
Telephone:  
Item#: _________________________ Amount (add 3% sales tax to items shipped to Georgia addresses:$____________________ 1 Enclose Card?
Card Message: _______________________________________________________________________________
Ship Order to Arrive: 1 Now 1 Other: _______________________

1 Commercial Address          1 Residential Address
 

GIFT NUMBER FIVE
Name:  
Street:  
City, State, Zip:  
Telephone:  
Item#: _________________________ Amount (add 3% sales tax to items shipped to Georgia addresses:$____________________ 1 Enclose Card?
Card Message: _______________________________________________________________________________
Ship Order to Arrive: 1 Now 1 Other: _______________________

1 Commercial Address          1 Residential Address
 
 

ALL PRICES INCLUDE SHIPPING AND HANDLING