DU CUP ORDER FORM

 
Name :
 
Address 1:
  STREET ADDRESSES ONLY
 
Address 2 :
  NO PO BOXES
 
City & State :
  Zip :
 
Event Date :
 Phone Number :
 
E-mail address :
 
Credit Card Payments  (Visa, MasterCard, Discover and American Express accepted)
Credit Card Number :
  Exp. Date
Billing Zip Code :
  Card Security Code
 
Comments :


PLEASE INDICATE NUMBER OF CASES TO BE ORDERED
Large Cases of Ducks Unlimited 16oz White Cups / $125 per case / 250 cups per case
Small Cases of Ducks Unlimited 16oz White Cups / $75 per case / 125 cups per case
WEST OF THE MISSISSIPPI ONLY - ADD $5.00 SHIPPING Per Case
  Alaska & Hawaii - Call or email for shipping costs

$
ORDER TOTAL
     
 
  Mail completed form to:
    DU Volunteer Cup Program
Arcadia DU Cups QR Code
  503 Shadowbrook Dr
  Columbia, SC 29210
  -OR-  
    FAX Credit Card Orders to: 803-798-9020
  Checks or Money Orders should be made out to S.C. Ducks Unlimited
     
  PLEASE ALLOW THREE WEEKS FOR DELIVERY
  ALL PROFITS GO TO DUCKS UNLIMITED
     
  (All prices in effect through January 1, 2018)