Catawissa Bottling Co. - Order Form

If you wish to mail your order, print out this page and mail your order, along with your money order made out to/and mail to Catawissa Bottling Company, 450 Fisher Avenue, PO Box 27, Catawissa, PA 17820. Call 1-800-892-4419. Allow 4-7 days for delivery. We now accept credi/debit cards. Fill out the info for ordering by card. Price as noted below includes shipping in the Continental USA only.
Name:
Address:
City: State: Zip:
Ship To Name:
Address:
City: State: Zip:
Type of Credit Card-Circle One: - - - MC - - - Visa - - - AMEX - - - Discover
Name on Credit Card
Credit Card Number: Expiration Date:
Signature:
Item # Item Name Price Qty Total Price
CBC-2 Moxie Magnet $2 + Shipping

CBC-4 Marketing Phamplet $4.50

CBC-5 Ted William insert $46.00

CBC-6 Two-sided hang-up spinner $47.00

CBC-7 "Mad About Moxie" six-pak tote $6.00

CBC-8 "Original" Moxie six-pak tote $12.00

CBC-10b Moxie T-Shirt - Large or X Large. $25.00

CBC-21 Big Ben's Baseball Cap $18.00

CBC-22 Big Ben's T-Shirt $23.00

CBC-49 Big Ben's Soda CALL

CBC-50 Moxie Soda CALL

PENNSYLVANIA SALES TAX (6%):
State Size of T-Shirt:
Total For Goods:


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