Kroger Catalog 2023-2024
REORDER FORM (Please make additional copies for future use.) USE BLUE OR BLACK INK WHEN COMPLETING THIS FORM.
1. SHIP TO
Store #
800-241-2094 Fax 800-880-9759 Local Fax 706-546-8482 Mail to:
Name of Business Address City
burton + BURTON ® 325 Cleveland Road Bogart, GA 30622
State
ZIP Code™
2. ORDERED BY Customer # Address City
State
ZIP Code™
Phone
3. ORDER
Product Number
Description
Quantity
Unit Price
Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
May we substitute with similar product if out of any item? ß Yes ß No Discounts, if any, will be calculated and applied to your order. Shipping and handling charges will be added to your order. For additional items, please use another copy of this page. Prices subject to change without notice. Orders subject to acceptance in Bogart, Georgia. Customer consents to the jurisdiction of any court in the State of Georgia and the laws of Georgia.
Total number of pages being transmitted including this sheet
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