Coketiques Order Form
(*)Required to submit order.

Item #1:     Quantity:     Cost:

Item #2:     Quantity:     Cost:

Item #3:     Quantity:     Cost:

Item #4:     Quantity:     Cost:

Item #5:     Quantity:     Cost:

Sub Total:
Shipping Cost:
Total Cost:
Pay securely with Mastercard or Visa credit card through PayPal!
     
For PayPal Payments use beartul@cox.net
Payment Method ( Check / M.O. / PayPal ):

*Name:
*Address:
*City / State / Zip:
*Phone No.:
*Email:
"THANK  YOU  FOR  YOUR  ORDER"
~ 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 UPS International Shipping:

  • Surface or Airmail is done through the Postal Service.

    Click Here For
    Mail Order Form

    Mailto: Coketiques
    7407 South 284th E. Ave.
    Broken Arrow, OK 74014
    (918) 357-3067
    Email: beartul@cox.net
    PayPal: beartul@cox.net