After Instant Payment                                                    email: info@JordanAlmonds.com

    Color and Delivery Date Form

Please either:

 1) FAX or

 2) Fill In and Submit the following notification:


TO: JordanAlmonds.com

FAX : (215) 392-4340

EMail: info@JordanAlmonds.com by clicking on the "Submit" button at the bottom of this form.


I just made an instant payment for Jordan Almonds.

Here is the information you need to ship my order:


1) Name:



2) Phone: AC    NUMBER   -


3) Delivery Date: / /

 

ASAP 


Event Date:   /  /

4) Color(s) and Quantities of each Color:


  LBS of White Jordan Almonds


  LBS of Assorted Jordan Almonds



  Grade (Fine or Extra Fine), Color(s) and/or Comments:







OPTIONAL INFORMATION


5) Shipping Address (only if different than address provided during payment):
 

 

Shipping Address:
                                City
                                State
                                ZIP    -

    Email:   @  .

    Phone : Area Code    Number -

    FAX :   Area Code    Number -

    Please confirm my order via:

        Email

        FAX