wisconsin

cheese company

Box 215 Hwy 13/34 • Rudolph, WI 54475715-435-3144 • www.dairystatecheese.com

2016/2017 gift box

1 2

34

Mike’s Favorite1 lb. Monterey Jack Cheese1 lb. Colby Cheese1 lb. Mild Cheddar Cheese1 lb. Sharp Cheddar Cheese

$ 28.75 Gift Box 13.00 Shipping$ 41.75 Delivered Shipping Wt. 5 lbs.

The Naturals1 lb. Colby Cheese1 lb. Mild Cheddar Cheese1 lb. Sharp Cheddar Cheese

$21.50 Gift Box 12.00 Shipping $33.50 Delivered Shipping Wt. 4 lbs.

The Royal Event1 lb. Colby Cheese12 oz. Usinger Beef Summer Sausage1 lb. Mild Cheddar Cheese

$ 20.00 Gift Box 12.00 Shipping$ 32.00 Delivered Shipping Wt. 4 lbs.

The Wisconsin Winner1 lb. Monterey Jack Cheese1 lb. Colby Cheese 1 lb. Mild Cheddar Cheese12 oz. Usinger Beef Summer Sausage

$27.75 Gift Box 13.00 Shipping $40.75 Delivered

Shipping Wt. 5 lbs.

715-435-3144 • www.dairystatecheese.com

Enjoy a taste of Wisconsin!

wisconsin

cheese company715-435-3144 • www.dairystatecheese.com

The Holidays are a special time of year...We invite you to enjoy our amazing

Wisconsin cheese products. Celebrate this magical time by sharing

them with your family and friends.

Thank You!

Gift CertifiCates are available

__________ Gift Certificates — Amount: $ ________________ each.

Gift Card Signature ________________________________________________

Ship To _______________________________________________________

Street ________________________________________________________

City _____________________________ State______ Zip _______________

from

Your Name _____________________________________________________

Street ________________________________________________________

City _________________________________________________________

State _______________ Zip ______________________________________

Phone No. (________) ________________________Please include your area code number.

Date Ordered _______________________________

TOTALS

Order # _____________________ (Office Use Only)

PLEASE DO NOT CUT ORDER FORM

Wisconsin Dairy state Cheese Company Box 215 Hwy 13 / 34, Rudolph, Wisconsin 54475 • 715-435-3144 • www.dairystatecheese.com 2016/2017

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

HoliDay Delivery:Thanksgivig Delivery:

November 7, 2016 November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery:

week of _______________After Christmas Delivery:

week of _______________

Christmas Delivery: November 28, 2016 December 5, 2016 December 12, 2016

PLEASE DO NOT CUT ORDER FORM

importaNt iNformatioN

Gift Boxes shipped to ALASKA or HAWAII... Must be shipped 2 Day Air Fed Ex... Please add $12.00 for each pound to have your box shipped.

Holiday orders must be received by December 5, 2016 to arrive by December 23, 2016. Please indicate on the order form when you would like your order to arrive. We appreciate your order. To ensure your holiday delivery our last ship date will be December 16, 2016. Normal order shipping will resume January 2, 2017 after the holidays.

speCial iNstruCtioNs

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

______________________________________________________________________

_____________________________________________________________________store Hours

Monday thru Friday 8:00-5:15, Saturday 8:00-5:00, Sunday 9:00-12:00

Wisconsin Dairy state Cheese Company Box 215 Hwy 13 / 34, Rudolph, Wisconsin 54475 • 715-435-3144 • www.dairystatecheese.com 2016/2017

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016

Gift Box No. __________ amount $ ____________________________

Ship To ___________________________________________________(please print)

Address ___________________________________________________ (no P.O. Box Numbers)

City _____________________________________________________

State ___________________ Zip _____________________________

Gift Card Signature ____________________________________________HoliDay Delivery:Thanksgivig Delivery: ■ November 7, 2016■ November 14, 2016

all otHer Delivery:Before Thanksgivig Delivery: ■ week of _______________After Christmas Delivery: ■ week of _______________

Christmas Delivery:■ November 28, 2016■ December 5, 2016■ December 12, 2016