Kernel Pops of Minnesota

Quality Concessions Supplies, Equipment & Service
16535 Jordan Avenue • Jordan, MN 55352
800.908.7990 • 952.492.7755 • fax: 952.492.7757

ORDER FORM
You may fill out this order form and submit the order
or print it out and fax it or mail it to us.

Information

First & Last Name:
Company:
Mailing Address: (sorry, no PO Boxes)
City:
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Phone Number:
E-mail Address:


	Products

Payment Information
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If using credit card, please print out form and fax it or mail it to us.

check

cash on delivery

Visa MC

American Express

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Credit Card
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