Ordered by: Order Date:  Street Address:  City:  State: Zip: Daytime Telephone #:  Fax #: E-Mail Address:  Ship to:  Street Address:  City:  State: Zip: Payment Method:    Check Visa MasterCard Card#:  Expiration Date:

At this time we cannot take online orders, however you can print & fax your order to 1-414-964-6675 or just call our call at our 800 number below. PLEASE CALL 1-800-359-3039 TO PLACE YOUR ORDER Your information will be kept confidential. Please make all checks payable to Wisconsin Wilderness and forward to: Wisconsin Wilderness - 101 West Capitol Dr. - Milwaukee, WI 53212 PRODUCT SIZE PRICE QUANTITY TOTAL HONEY MUSTARD 10oz. jar $6.00 CRANBERRY MUSTARD 10oz. jar $6.00 CRANBERRY HORSERADISH MUSTARD 10oz. jar $6.00 CRANBERRY CHUTNEY 10oz. jar $6.00 CRANBERRY SALSA 10oz. jar $6.00 CRANBERRY GRILLING SAUCE 15oz. jar $6.00 PUMPKIN BUTTER (Seasonal)out of stock. 10oz. jar $6.00 HONEY GLAZED PRETZELS (Seasonal) 8oz. pkg $3.50 TOTAL $ SHIPPING & HANDLING (in continental U.S.) $ THANK YOU FOR YOUR ORDER GRAND TOTAL $ PRINT THIS ORDER FORM AND FAX IT ANY TIME TO: 1-414-964-6675 SORRY, WE ARE UNABLE TO SHIP TO P.O. BOXES WE SHIP TO THE CONTIGUOUS U.S. ONLY Please note:  There is a $15.00 Minimum Order. (Excluding shipping & handling charge) RETURN TO MAIN PAGE © 2007  Wisconsin Wilderness ORDERING 1-800-359-3039 FAX 1-414-964-6675 QUESTIONS 1-414-964-6466 Webmaster: The Pipia Company