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:: about us :: area reps :: merchants
Order Form

Please complete this Form to place an order for Kool-Mix:

Your Merchant ID (if applicable)

if you have not registered, just type in "NEW ORDER". To register for FREE, click here!

Your Name or Business Name


Your Address


Tel:  
Fax:  
Email Address:


Your order:

No. of boxes:  
 
Pick your flavors - you can mix them up! Total must be in aggregate of 6.

Flavors

Bottles

Strawberry
Mango
Coconut/Pineapple
Lemon/Lime

If you buy 5 or less bottles,
please select your flavors below and corresponding no. of bottles:
Strawberry
Mango
Coconut/Pineapple
Lemon/Lime


To help us in our Kool-Mix Promotions for Merchants or Vendors, please let us know if you would be interested in any of the following marketing options:

Co-sponsoring Events
Area Representative status
Renting a Kool-Mix Kiosk
Purchasing a Blender
Using our Kool-Mix Logo on your Menu in exchange for a rebate on orders
Purchasing our merchandise
(T-Shirts, Mugs, Caps, etc.)

 


Thank you for your order!

We will contact you within one working day. 


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