name
customer # and key code
address city, state, zip code daytime phone
1
2
name
name
address (No P.O. boxes, please)
address (No P.O. boxes, please)
city, state, zip code
city, state, zip code
daytime phone
daytime phone
preferred arrival week
preferred arrival week
Gift? Write message below line:
Gift? Write message below line:
Email shipment notification to them?
1 box or 2?
code
Y
N
Email shipment notification to them?
item description
size
qty
$ unit
Y
N
$ total
subtotal shipping 1 shipping 2
payment method: ❏ Check ❏ Discover ❏ MC ❏ VISA ❏ AmEx
Bread cannot ship for flat rate
total credit card account number expiration date
If you choose to pay by credit card, we may ring you for your security code.
Five ways to get this to us. Choose one. 1) phone it in 1 888 636 8162 2) mail to 610 Phoenix Drive, Ann Arbor, MI 48108 3) scan and e-mail to mailorder@zingermans.com 4) fax 734 477 6988 5) take a picture and text it to 734 436 2006
name of cardholder CALL 888 636 8162
this section is for office use only
9AM-10PM ET EVERY DAY
ZINGERMANS.COM
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