FAX Order Form
To order: print this form, fill it in, and fax it to us at 212-727-1778
Chelsea Market Baskets / Fine Food Marketing
Contacts: Vilma de la Torre & David Porat
Mailing Address: 75 Ninth Avenue New York, NY 10011
Make Checks Payable To: Fine Food Marketing
Tel: 212-727-1484 Toll-Free: 888-LEMCURD Fax: 212-727-1778
Email: Info@CMB-wholesale.com || www.CMB-Wholesale.com
Minimum Order: $200 || First Orders: $250, COD or Credit Card || FOB: Connecticut

name:

company name:

date:

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e-mail:

desired ship date:  

ordered before?:

payment method (credit card info):

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ship to address:


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