SECURE On Line Order Form for CHEESES ... Choose from one of these easy payment methods:

1) Order by phone: Toll free - 800.769.0299

2) Fax your order: 615.893.1941

3) Complete the form below and submit per email - call us with credit card info.

4) Mail the completed form with payment to:
Durrett Cheese Sales, Inc., 1139 NW Broad St., Murfreesboro, TN 37129


Info needed when ordering by phone:
* Buyer's Name, Address & Telephone Number
* If paying by credit card: Acct. # and Exp. date
* If gift order: Name, Address (incl. zip) of recipient
* Date order is to arrive
* Item Number, Price and to Whom each item is to be sent
* Total amount of order including Shipping and/or Tax (see below)

(TN recipients add 8.75% sales tax)

   

ITEM #          QTY DESCRIPTION    PRICE

Amount Of Items To My Address: 
Amount Due To Others:
Tennessee Recipients add 8.75% :
Shipping & Handling (for ea. address): 
Total amount due:

Shipping & Handling Costs:


Order Subtotal: U. S. Postage
Up to $19.99 add $4.50
$20.00 - 39.99 add $6.50
$40.00 - 74.99 add $8.75
$75.00 - 99.99 add $9.75
$100.00 and up add 10% of total
Shipping Info:
Name:
Address:
City:   State: 
Zip:
Phone (day):   Phone (night): 
Email:         



Please call us at (800) 209-6792 for more information if you are shipping to more than one location.

Phone: (800) 209-6792  or (931) 723-3422 *  Fax (931) 723-3435   
Gift Gallery: (615) 896-5378

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