This order form is for those products which currently cannot be purchased online.
To view our products available through online ordering, click here

To place an order:

By Phone: Call us at 1-800-984-3722 for phone orders.
By Fax: Print and fax this form to 304-822-3148.

All products are $6.00 each ($5 each if ordering 3 or more items), shipping and handling fees will be determined when order is placed.
WV residents, please add 6% sales tax. Mastercard, Visa, check or money orders accepted.

Make checks/money order payable to: Gourmet Central
Address: P.O. Box 984, Romney, WV 26757.
Special Order Code is required (if applicable) when placing order.


print form

Bill To: Ship To:
   
   
   

Quantity
Item/Description
Price Each
Total Price
       
       
       
       
       
       
       
       
       
       
       

Shipping Cost
 Shipping/Handling fee determined after order is received.
Shipping/Handling/Tax*
  

MC or Visa
Credit card number:

Exp. Date:

Total Order

  
  Special Order Code Discount- 20%
Enter Code:
 
  *WV residents please add 6% sales tax.
Total Cost
  


Order placed through WVGourmetFoods.com