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, Amex, Diners & Discover)
Card Number :
   Exp. Date
Comments :

PLEASE INDICATE NUMBER OF CASES TO BE ORDERED
  Cases of Ducks Unlimited 17oz Fluted Cups / $125 per case / 250 cups per case
  *WEST OF THE MISSISSIPPI ONLY - ADD $5.00 SHIPPING Per Case

        *Alaska & Hawaii - Call/email for shipping costs

$
ORDER TOTAL
     
 
 
Mail completed form to:
   
DU Volunteer Cup Program
 
804 Arcadia Lakes Drive
 
Columbia, SC 29206
  -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 June 2011)