Bauscher Club Line Order Form

North Carolina residents:  7% Sales Tax will be added to the total of your order.

Please fill in the form below to place your order.  If you prefer an alternate method of ordering, please see instructions below the form.  Please note that your valid email address and telephone number are required so that we can contact you regarding the status of your order or if there are any complications.  Your personal information will never be sold, given away, or distributed in any manner.  If you prefer to speak with a live person, please either call, or fill out the form but leave out your payment information.   Make sure you enter your telephone number so that we can call you to confirm your order.  We will confirm your order with a total price before we charge your credit card.  Furthermore, we will only charge your card when we are ready to ship your product.

All Pieces are $7.33 per stem.  A 10% discount is available for quantities of 24 or more pieces (you can mix and match and qualify for the discount.)  We will confirm your order and total shipping/packaging, and insurance charges before sending.

Quantity Juice:       Quantity Campari:     Quantity Dbl Old Fashion:    

Name:      

Address1:

Address2:

City:        

State:      

ZipCode:

Optional shipping address or any special instructions or message can be entered here:

Email:  

Telephone: 

Credit Card Type: 

Credit Card Number: 

Expiration Date (MM/YY): 

  

 

You may order by faxing the required information to the following United States fax number:  919-387-0272. 

Or, you can mail the information to: 

Kreative Concepts LLC,  1211 Wellstone Cir.,  Apex, NC 27502

If you prefer to privately email the information, please email it to:   Bauscherclub@KKLLC.com

Finally, if you prefer to call in the order, you may call: 

(919)-387-1706