Chezjane Gourmet Garlic Spread

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Order Form

Please fill out this form and then print a copy.  Then you can either MAIL it with your check to Divino's Specialty Foods or, you can phone your order to 425.971.445 and charge it to your credit card.
Please be sure to include your phone number in case we need to verify information.
We offer pick up at our facility to save you shipping charges. 
We offer free delivery within our area on orders of $100 or more.

SHIPPING INFORMATION:
Name
Street address
City
State/Province
Zip/Postal code
Country
Phone number
including area code
Email address

 (Don't enter credit card information if you send a check.)

       Credit Card No.
Expiration Date:      CSC No: 

Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 
Qty. of item #   @    ea.  =  $ 

  • Shipping
    $10.00 - $49.99 = $10.00
    $50.00 - $99.99 = $20.00
    Subtotal                    = $
    Shipping Charges    = $
           Total Order        = $
    Please make payment to     Divino's Specialty Foods.
    All orders Shipped Within 3-10 Days!
    All returns must be made within 30 days of purchase.