Bongards Retail Store Order Form 1

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Bongards Retail Store Order Form 1. Type your desired quantity for each product in the "Quantity" column. 2. Calculate the total price for each desired product in the "Total Price" column. 3. Calculate the product total at the bottom of the chart. 4. Provide billing and shipping information. 5. Email the completed form to [email protected] or call us at (952) 466-3545. 6. The retail store will review the order, add shipping, calculate the order total, and call you for credit card information. 7. The retail store will ship your product.

Product Product Number Product Name Quantity Price Total Price 1 Lb. Natural Blocks 403301 Bongards® Yellow Cheddar Block – 1 Lb. 4.00$ $ 403311 Bongards® Yellow Sharp Cheddar Block – 1 Lb. 4.38$ $ 403331 Bongards® White Cheddar Block – 1 Lb. 4.00$ $ 403351 Bongards® Pepper Jack Block – 1 Lb. 4.17$ $ 403381 Bongards® Marble Jack Block – 1 Lb. 4.00$ $ 1.5 Lb. Natural Slices 752451 Bongards® Cheddar Slices – 32 SOS – 1.5 Lb. 6.30$ $ 752461 Bongards® Mozzarella Slices – 32 SOS – 1.5 Lb. 6.12$ $ 752471 Bongards® Provolone Slices – 32 SOS – 1.5 Lb. 6.51$ $ 752481 Bongards® Swiss Slices – 32 SOS – 1.5 Lb. 7.17$ $ 752521 Bongards® Pepper Jack Slices – 32 SOS – 1.5 Lb. 6.62$ $ 752671 Bongards® Muenster Slices – 32 SOS – 1.5 Lb. 6.64$ $ 3 Lb. Natural Slices 104311 Bongards® Pasteurized Blended Yellow Cheddar Cheese Slice - 64 H - 3 Lb. 11.51$ $ 104331 Bongards® Pasteurized Blended Swiss Cheese Slice - 64 H - 3 Lb. 14.32$ $ 104341 Bongards® Pasteurized Blended Pepper Jack Cheese Slice - 64 H - 3 Lb. 11.09$ $ 104351 Bongards® Pasteurized Blended Low Moisture Part Skim Mozzarella Cheese Slice - 64 H - 3 Lb. 10.75$ $ 104361 Bongards® Pasteurized Blended Provolone Cheese Slice - 64 H - 3 Lb. 11.59$ $ 8 Oz. Natural Shreds 753101 Bongards® Yellow Cheddar Fancy Shred – 8 Oz. 2.00$ $ 753111 Bongards® Colby Jack Fancy Shred Cheese – 8 Oz. 2.00$ $ 753121 Bongards® Mozzarella Fancy Shred – 8 Oz. 2.00$ $ 753131 Bongards® Mozzarella/Provolone/Cheddar Fancy Shred – 8 Oz. 2.00$ $ 5 Lb. Natural Shreds 755071 Bongards® Low Moisture Part Skim Mozzarella Feather Shred – 5 Lb. 16.94$ $ 755121 Bongards® Yellow Cheddar Fancy Shred – 4/5 Lb. 16.94$ $ 755191 Bongards® Yellow Cheddar Feather Shred – 4/5 Lb. 16.94$ $ 755261 Bongards® Mozzarella, Provolone, and Cheddar Feather Shred – 4/5 Lb. 16.94$ $ 771021 Bongards® Monterey Jack and Cheddar Fancy Shred – 4/5 Lb. 16.94$ $ 12 Oz. Process Slices 101851 Bongards® Yellow Processed American Slice - 12 Oz. 2.58$ $ 3 Lb. Process Slices 102211 Bongards® Yellow Processed American Slice - 108 P - 3 Lb. 9.49$ $ 102421 Bongards® Yellow Processed American Slice - 72 V - 3 Lb. 9.49$ $ 102431 Bongards® White Processed American Slice - 72 V - 3 Lb. 9.49$ $ 5 Lb. Process Slices 100331 Bongards® Yellow Processed American Slice - 120 V - 5 Lb. 15.12$ $ 100341 Bongards® White Processed American Slice - 120 V - 5 Lb. 15.12$ $ 100351 Bongards® Processed American Swiss Slice - 120V - 5 Lb. 15.26$ $ 100541 Bongards® Yellow Reduced Sodium & Fat Processed American Slice - 160 H - 5 Lb. 15.82$ $ 102031 Bongards® Yellow Processed Sharp American Slice - 184 P - 5 Lb. 15.26$ $ 103411 Bongards® Processed Jalapeno American Slice - 120 H - 5 Lb. 15.68$ $ 1 Lb. Flavored Blocks 403211 Bongards® Processed American Bacon Cheese Food – 1 Lb. 4.82$ $ 403221 Bongards® Processed American Onion and Garlic Cheese Food – 1 Lb. 4.68$ $ 403231 Bongards® Processed American Horseradish Cheese Food – 1 Lb. 5.22$ $ 403261 Bongards® Processed American Garden Vegetable Cheese Food – 1 Lb. 4.68$ $ 2 Lb. Process Blocks 203351 Bongards® Processed American Melting Cheese Product Loaf – 2 Lb. 6.66$ $

Pricing effective 3.1.2020-3.15.2020 Product Product Number Product Name Quantity Price Total Price 5 Lb. Process Blocks 202631 Bongards® Yellow Processed American Loaf - 5# $ 15.33 $ 202641 Bongards® White Processed American Loaf – 5# $ 15.33 $ 202681 Bongards® Super Melt™ White Processed American Loaf – 5# $ 15.33 $ 202691 Bongards® Super Melt™ Yellow Processed American Loaf – 5# $ 15.33 $ 12 Oz. Curds n/a Bongards® Ranch Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Rosemary Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Taco Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Ranch and Dill Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Onion Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Garlic and Herb Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Garlic Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Garlic Dill Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Dill Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Cajun Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® Cheddar Cheese Curds - 12 Oz. $ 3.56 $ n/a Bongards® Crushed Red Pepper Cheese Curds - 12 Oz. $ 4.75 $ n/a Bongards® BBQ Cheese Curds - 12 Oz. $ 4.75 $ Cheese Sticks 402911 Bongards® Cheddar Cheese Stick – 1 Oz. (Individual Stick) $ 0.40 $ 402911 Bongards® Cheddar Cheese Stick – 24 Oz. (Pack of 24 Sticks) $ 9.60 $ 402931 Bongards® Marble Cheese Stick – 1 Oz. (Individual Stick) $ 0.40 $ 402931 Bongards® Marble Cheese Stick – 24 Oz. (Pack of 24 Sticks) $ 9.60 $ 402951 Bongards® Low Moisture Part Skim Mozzarella String Cheese Stick – 1 Oz. (Individual Stick) $ 0.40 $ 402951 Bongards® Low Moisture Part Skim Mozzarella String Cheese Stick – 24 Oz. (Pack of 24 Sticks) $ 9.60 $ 754201 Bongards® String Cheese Whips - 1 Lb. $ 5.25 $ 1 Lb. Butter 606041 Bongards® Salted Butter Quarters – 1 Lb. $ 3.49 $ 3 Lb. Cream Cheese 203811 Bongards® Cream Cheese Loaf – 3 Lb. $ 8.22 $ Product Total $

Please provide billing and shipping information for your order Billing Name: ______Shipping Name: ______Billing Address: ______Shipping Address: ______Billing City/State/Zip: ______City/State/Zip: ______Email: ______Desired Delivery Date: ______Phone: ______

FOR OFFICE USE ONLY: Card Name: ______Product Total $ Card Number: ______Shipping & Handling $ Month/Year: ______Order Total $ CVC: ______

Pricing effective 3.1.2020-3.15.2020