POPCORN ORDER FORM
(To use: print out, complete form and mail to the following address: ATTN: Doug Vik, 1560 Lawnridge SE, Huron, SD 57350 Do not send payment at this time. You will be notified by mail, e-mail, or phone as to where you can pick up your order. Payment for the order becomes due upon receipt of the popcorn at the designated pickup location. At this time we are not filling orders by mail.)
South Dakota Pickup Centers for Popcorn : Huron, Rapid City, Plankington, Pierre, Brookings, Sioux Falls
| Yellow Popcorn | Number | Cost |
| 2 lbs. ($1.50/bag) | ||
| 4 lbs. ($3/bag) | ||
| 10 lbs. ($6/bag) | ||
| 12.5 lbs. ($7/bag) | ||
| 50 lbs. ($25/bag) | ||
| White Popcorn | ||
| 2 lbs.($1.50/bag) | ||
| 4 lbs. ($3.00/bag) | ||
| 12.5 lbs.($7.00/bag) | ||
| 50 lbs. ($25/box - 12.5 lb. bags) | ||
| Microwave Popcorn | ||
| Butter ($9/box of 18) | ||
| Butter lite ($9/box of 18) | ||
| Blast of Butter ($12/box of 24) | ||
| TOTAL COST |
NAME ______________________
DATE _______________________
PHONE NUMBER ________________________
ADDRESS _____________________________________________________
ADDRESS_____________________________________________________
E-mail _________________________________________________________