Order Form

Divino’s specialty foods
920 5^th St, Mukilteo, WA 98275
Phone: (425) 971-4451, Fax: (425) 267-0382, e-mail: Divinos@comcast.net

Retail Order Form
Please fill out this form, print it, and MAIL or FAX it to the above address or fax number.

For faster service, call your order to 425-971-4451 8:00am – 4:00pm PST Monday thru Friday

Name:
Company Name:
Street Address:
City:	State:	Zip:
Daytime Phone:	Fax:
Mail a Check or Money Order payable to: Divino’s Specialty Foods Or use any of the following Credit Cards (Amex, Visa, MC)

Quantity	Item Number and Gift Basket Description	Price	Less 5% for orders of $2,500 or more.	Total Price




Merchandise Total--------S &H $00.00-$15.00---------------$7.00 $15.01-$25.00---------------$8.00 $25.01-$50.00---------------$9.00 $50.01-$75.00---------------$10.50 $75.01-$100.00-------------$11.50 $100.01-$150.00-----------$12.50 $150.01-$250.00-----------$13.50 Over$250.00----------------$14.50 2ND Day Air UPS ADD $10.00 to the regular shipping cost. Next Day Air UPS ADD $19.50 to the regular shipping cost. Sorry we no longer ship any packages COD			Shipping Total	$
	WA residents add 8.9% tax		Tax Total	$
		Total Enclosed		$