CHEESE ORDER FORM

Mafes Sales Store

Mississippi State University
Herzer Building
Box 9806
Mississippi State, MS 39762-9806

1994 Easter_____ (Orders must be received by March 1)

1994 Christmas_____(Orders must be received by Nov. 1)

Pick Up:_________(No.)

Mailed to Address Below:__________(No.) ($1.25 per cheese postage & handling)

Gifts to be Mailed:__________(No.) ($4 per cheese postage & handling--attach gift mailing addresses to form and insert in business reply envelope.)

Please reserve:

______Edams @ $13.50 each (Approx. 3 lbs.)
______Cheddars @ $8.00 each (Approx. 2 lbs.
______Jalapeno Pepper Cheese Blocks @ $8.00 each (Approx. 2 lbs.)
______Crocks of Jalapeno Pepper Cheese Spread @ $8.00 each
______Vallagret @ $11.00 each (Approx. 2 lbs.)

(Mississippi residents and all pick up orders, please add 7% sales tax to order.)

Name__________________________________________________________________

Address_______________________________________________________________

City, State, Zip Code_________________________________________________

Telephone No.________________________________