Coketiques
	Order Form
Name:
Address:
City:		State:		Zip:
Phone:		Email:
Item #	Item Description				Quantity	Cost per	Total
	"THANK YOU FOR YOUR ORDER"					Tax
						Shipping
						TOTAL $
Mailto:	Coketiques
	7407 South 284th E. Ave.
	Broken Arrow, OK  74014
	(918) 357-3067
Email:	beartul@cox.net
~ SHIPPING RATES   ~
We will ship anywhere when feasible.
Shipping to 48 states in most cases is done through UPS ground,  which includes insurance on the 1st $100.
Shipping will be done by the least expensive method or  by whatever method you prefer.
Price for one bottle to 48 states is $5.50
Price per case of bottles to 48 states is $18.00 to $24.00 through FedEx
International Shipping: Surface or Airmail is done through the Postal Service.