Easy MAIL or FAX ORDER FORM
Fill in your name, address, etc. and print this form
Sam Andy Authorized Dealer: "Michael Woodard"
Postal address: 31 N 700 E #210, St. George, UT 84770
In Utah: Phone: 1-435-652-5910
Fax: 435-673-8323
Pager: 1-888-825-4617

Ship To:

Today's Date

Name

Address

City

State Zip

Phone

Fax Email
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Method of Payment:
Check Money Order enclosed
Charge my Visa MC AmEx Discover

Name on Card_______________________________
Acct#______________________________________
Exp Date ______/______

Signature____________________________________		 Merchandise Total a
TX or CA sales Tax* a
Subtotal a
Pre-paid Shipping** a
TOTAL a
Please make checks payable to: Sam Andy Foods Authorized Dealer
* CA & TX residents add sales tax on non-food items only.
**Due to wide variation in weight, food items are shipped freight collect. If you prefer to prepay shipping on a food purchase, please call our toll free number for estimated charges