to our Order Form

not Just
Popcorn
Not Just Popcorn
114 E Main Cross St
Edinburgh In 46124
Phone 812-526-8256
Toll Free 800-231-5689
Fax 812-526-8488
www.notjustpopcorn.com
Order Information
Ordering Instructions
*When ordering by phone or fax, please use our order form
to help organize your order.
*Please print your order plainly. Addresses must have ZIP
information. We cannot deliver to post office boxes. No C.O.D.s
*If there is to be a gift card included, indicate below how a message
should appear on the gift card.
*To calculate shipping charges for each order, please refer to
the chart below.
*Warm Weather Warning
Any chocolate orders will melt at or above 72 degrees. Special
shipping my be required. If the temperature we are shipping to
or from is near 70 degrees Next Day Air is highly recomended
to protect your product from melting.
Name______________________
Address____________________
___________________________
City_________State___ Zip_____
Phone:(_____)_______________
Shipping Information
Same as above
Ship this gift To:
Name______________________
Address____________________
___________________________
City_________State___ Zip_____
Flavor Category
Gourmet, Savory, Premium, Chicago Cheddar
Chocolate Covered, Party Bags, Sampler Box
Filled Tins
Flavor
CHOOSE METHOD OF PAYMENT
A Money Order a Check a Credit Card
We Welcome Charge Orders. For Charge Orders, please
check box next to card you are using and fill in account number
and expiration date and sign below
a Master Card a Visa a Discover a American Express
Credit Card Number
Size
How Many Unit Price
Total
Subtotal
Shipping (see chart below)
Indiana Residents add 8% Sales Tax
Total Amount Enclosed or Charged
aaaaaaaaaaaaaaaa
Exp. Date____________ Your Phone number(___)____________
Signature_____________________________________________
Gift Card Message:____________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Delivery Charges
Prices below are based on ONE
box. Please call for pricing on all
orders over $60
Order Total Standard UPS
up to $15
Add $9
$15.01-$25
Add $10
$25.01-$40
Add $11
$40.01-$60
Add $12
$60.01-$80
Add $13
$80.01-$100
Add $14
$100.01-$125
Add $16
$125.01-$150
Add $20
$150.01-$200
Add $23
$200.01and up Add 10%
For Next Day Delivery please call for Rate