24 May 2013 ... Planogram Department. It is Lowe's standard practice to provide a facility for
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PHONE 262-723-2233 . 1-800-686-8737. Cornet/Trumpet. Alto Sax. Lyre $4.80.
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INSTRUCTIONS Please fill out this request form indicating your order and send along with payment. Checks only please. Do not send cash. Order will be mailed by UPS Ground Service. Please contact Lyons Magnus Customer Service at 1-800-344-7130 with any questions regarding your order. Thank you!
1. ORDERING Item #
Description POG 3:1 Concentrate (Makes 12 gallons of POG)
Size 1 case (6 - 64 oz.)
GUAVA 3:1 Concentrate (Makes 12 gallons of Guava Nectar)
1 case (6 - 64 oz.)
1140 1114
Shipping (UPS Ground)
Price
Quantity (cases)
$35.00
Total $
$40.00
$
$20 per case
$
Subtotal Shipping & Handling +
Amount Due
Order Date
= $
2. SHIP TO INFORMATION (PLEASE PRINT CLEARLY)
Name (First and Last)
Email
Address
City
State
Zip
( ) Home Phone
( ) Cell / Other
( Fax
)
3. PAYMENT Please enclose check for the total amount. Please note, orders will not be processed without receipt of payment.
Payable to:
Lyons Magnus
Send to:
Lyons Magnus Attn: Customer Service 3158 E. Hamilton Avenue Fresno California 93702
FOR OFFICIAL USE ONLY Customer # Salesman Territory Tax Stat Tax Group
