Catawissa Bottling Co. - Order Form
| If you wish to mail your order, print out this page and mail your order, along with your money order made out to/and mail to Catawissa Bottling Company, 450 Fisher Avenue, PO Box 27, Catawissa, PA 17820. Call 1-800-892-4419. Allow 4-7 days for delivery. We now accept credi/debit cards. Fill out the info for ordering by card. Price as noted below includes shipping in the Continental USA only. |
| Name: | ||||
| Address: | ||||
| City: | State: | Zip: | ||
| Ship To Name: | ||||
| Address: | ||||
| City: | State: | Zip: | ||
| Type of Credit Card-Circle One: - - - MC - - - Visa - - - AMEX - - - Discover | ||||
| Name on Credit Card | ||||
| Credit Card Number: | Expiration Date: | |||
| Signature: | ||||
| Item # | Item Name | Price | Qty | Total Price |
| CBC-2 | Moxie Magnet | $2 + Shipping | ||
| CBC-4 | Marketing Phamplet | $4.50 | ||
| CBC-5 | Ted William insert | $46.00 | ||
| CBC-6 | Two-sided hang-up spinner | $47.00 | ||
| CBC-7 | "Mad About Moxie" six-pak tote | $6.00 | ||
| CBC-8 | "Original" Moxie six-pak tote | $12.00 | ||
| CBC-10b | Moxie T-Shirt - Large or X Large. | $25.00 | ||
| CBC-21 | Big Ben's Baseball Cap | $18.00 | ||
| CBC-22 | Big Ben's T-Shirt | $23.00 | ||
| CBC-49 | Big Ben's Soda | CALL | ||
| CBC-50 | Moxie Soda | CALL |
| PENNSYLVANIA SALES TAX (6%): | |
| State Size of T-Shirt: |
| Total For Goods: |
| Copyright ©
1999 Catawissa Bottling Company, All rights Reserved. Design & Hosting by Vail Associates |