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