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