UNIQUE COOKING SYSTEM® PRODUCT ORDER FORM
Printable Version - Call Toll-Free at 877-686-7796 to Order by Phone!
FAX TO: (608) 835-9002

Method of Payment:
Payment enclosed
(Check or Money Order Only)
Make Checks payable to:
Unique Cooking System®

Mail complete form to:
Unique Cooking System®
591 N. Burr Oak Ave.
Oregon, WI  53575
      Visa           Master Card           Discover

Card Number:                                                          

Exp. Date:                                  

Signature:                                                                                 


Ordered By:

Name:                                                                                                 

Address:                                                                                              (No Post Office Boxes)

City:                                                          State:              Zip Code:                         

Phone: (               )                                         (Please include area code)

Ship to: (only if different than ordered by)

Name:                                                                                                 

Address:                                                                                              (No Post Office Boxes)

City:                                                          State:              Zip Code:                         

Phone: (               )                                         (Please include area code)


Description: Qty: Item Price: Total Amount:
       
       
       
       
       

Shipping & Handling Charges
20% of order or $10.00 minimum.

 Subtotal:  
Shipping:  
Sales Tax:
*For deliveries in Wisconsin add 5.5% sales tax.		  
Order Total: