Nuts About Ice Cream

Billing Information --- All FIELDS BELOW ARE REQUIRED

(Should be the same as your credit card statement mailing address.)

Name________________________________________________ Email ________________________________________________

Billing Address _______________________________________________ City, State, _______________________________________

Phone Number________________________________________________ Zip Code______________________________

Please Select a Payment---no money orders, checks, or cash please (unless you live in Lehigh Valley , Pa.)

Mastercard American Express Visa Card Number ____-____-____-____ Experation Date __/__

Shipping Address-**skip if same above**_______________________________________

City, State, Zip Code________________________________________________

Product Needed by Date. -- REQUIRED INFORMATION___________________

Is this a gift? Yes/No Would you like us to include a greeting message? Yes/No

Insert Message Here:________________________________________________

Please circle one (Required) : 16 Pints for $130.00 10 Quarts for $130.00 6 Half-Gallons for $130.00

PLEASE SELECT THE QUANTITY OF EACH OF THE FLAVORS BELOW:
Gourmet Ice Cream Flavors

 
Saffron Pistachio
_____
 
Fig
_____
 
Mango
_____
 
Cardamom Kulfi
_____
 
Ginger
_____
 
Rose Hip Extract
_____
 
Chocolate Raspberry Truffle
_____
 
Caramel Cashew
_____
 
Fresh Coconut
_____
 
Green Tea
_____
 
Lychee
_____
 
Cinnamon
_____
 
Seasonal Flavor
_____
 
Flavor of the Month
_____

 
Gourmet Sorbet Flavors

 
Passion Fruit 
_____
 
Kiwi Fruit
_____
 
Mango
_____
 
Ginger-Lime
_____
 
Guava Fruit
_____
 
Tamarind
_____
 
Mixed Berry
_____
 
Raspberry Cabernet
(Contains real wine)
_____
 
Pear
_____
 
Raspberry Lemon
_____
 
Cassis
_____