Text Box: Classique Fare Logo

CLASSIque fare products Are available at your local GOURMET market and many supermarkets

or you can order in bulk by mail

Using this PRINTABLE FORM

MAKE CHECK OR MONEY ORDER PAYABLE TO and MAILTO:

MODERN PRODUCTS, INC.

6425 W. Executive Drive

Mequon, Wisconsin 53092

Allow 3-4 weeks for personal check orders

1-2 weeks for money orders
Text Box: NAME:___________________________________ DATE: ________________________ ADDRESS:______________________________________________________________ CITY_________________________________________ STATE:_______ ZIP:_________ TELEPHONE #:________________________________________________________ (Telephone # is requested in case there is a problem with the order) Prices subject to change without prior notice. NEW CUSTOMER _________ RETURNING CUSTOMER _________

ITEM #

WEIGHT

DESCRIPTION

CASE SIZE

COST

QUANTITY

81001

6 lbs.

Belgian Waffle Mix

6/16 oz.

$22.80

__________

81005-2

6 lbs

Pecan Pancake Mix

6/16 oz.

$22.80

__________

81007-6

6 lbs

Apple Pancake Mix

6/16 oz.

$22.80

__________

81011-3

6 lbs.

Blueberry Pancake Mix

6/16 oz.

$22.80

__________

 

 

 

 

SUBTOTAL

__________

 

 

Shipping :  $4.50/case

 

Shipping

__________

 

 

 

 

TOTAL

__________

 

 

 

 

 

 

Shipping charges apply only to shipments within the Continental United States.  For all other shipping charges, CONTACT US.