orderform

NEW ACCOUNT INFORMATION AND ORDER FORM

REGISTERED BUSINESS NAME:

ADDRESS:

CITY:

PROVINCE:

POSTAL CODE:

COUNTRY:

TELEPHONE #: FAX #: E-MAIL:

OPERATING NAME ( if different from above):

SHIPPING ADDRESS (if different from above):

OWNER'S FULL NAME:

YEAR'S IN BUSINESS:

NAME OF BANK:

ADDRESS OF BANK:

CHOICE PRODUCT & QUANTITY PER CASE BY CHECKING THE BOX:

box	Vanilla Non-Fat Frozen Yogurt Mix	box	Iced Cappuccino Mix
box	Chocolate Non-Fat Frozen Yogurt	box	Real Fruit Granita Mix
box	Ice Milk Liquid Mix	units	F lavour Machine Model FM1
box	V anilla Low Fat Soft Serve Mix	units	Flavour Machine Model FM2
box	Chocolate Low Fat Soft Serve Mix	units	Flavour Machine Model FM3

ALL PRODUCTS COMES IN 12 UNITS EXCEPT FOR FRUIT GRANITA COMES IN 6 UNITS AND ICE MILK IN 6 UNITS.

CHOICE FLAVOUR & QUANTITY PER BOTTLE FOR GRANITA MIX & OR SOFT SERVE MIX