Cheese Order Form | KBC Online

This form can be filled out for the October 2018 Cheese Order

Closing Date: November 4 / 18

Delivery Date:: Dec 6/ 18

This order form is available to make an order of cheese from ADL.

Name
First Last
Phone
Email
Mild Cheddar
Price: $ 30.00 CAD Quantity:
1.7 - 2.0kg ADL Cheese from PEI
Medium Cheddar
Price: $ 30.00 CAD Quantity:
1.7 - 2.0kg ADL Cheese from PEI
Old Cheddar
Price: $ 30.00 CAD Quantity:
1.7 - 2.0kg ADL Cheese from PEI
x-Old Cheddar
Price: $ 32.00 CAD Quantity:
1.7 - 2.0kg ADL Cheese from PEI
x-old White Cheddar
Price: $ 32.00 CAD Quantity:
1.7 - 2.0kg ADL Cheese from PEI
Marble
Price: $ 30.00 CAD Quantity:
1.7 - 2.0kg ADL Cheese from PEI
Regular Mozzarella
Price: $ 30.00 CAD Quantity:
2.3kg ADL Cheese from PEI
Total
$ 0.00 CAD
Payment Method*
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
Credit Card

American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Cheque Payment
Please drop off you check to the office on or before February 21st. Check can be made payable to Kennebecasis Baptist Church
Cash Payment
Please drop off money to the church office before February 21st