Fire
Mountain Foods Wholesale Order Form
17505
Mardee.
503-697-1428
SKU Unit
wt Unit $ Qty $Total
Hot Pepper Relish
8.5 oz Jar - UPC 8-93534-00001-7 16oz
$2.92 x ____ =_______
12 pak
– UPC 8-93534-00041-3 12.4 lbs $35.04 x
____ =_______
Sweet Jalapeno Relish
8.5
oz Jar - UPC 8-93534-00002-4 16oz $2.92 x
____ =_______
12
pak – UPC
8-93534-00042-0 12.4 lbs $35.04 x
____ =_______
Total $ __________
Terms ___________________________
Case Cube = .25 Case size = 12”x9”x4” Pallet T/H = 17x10 = 170 cases
Customer name
_________________________________________
Approved by
____________________________________________
Signature ______________________ Date __________________
Prices FOB
Please check with us for additional freight
charges to out of area shipments. UPS and common carrier shipping available.