Bill To: ____________________
Address: __________________
City: ______________________
State:_________ Zip:_________
Phone:____________________
Email:____________________

Ship To: ___________________
Address: _________________
City: _____________________
State:_________ Zip:________
Phone:___________________
Email:____________________

Enclose check or money order with order form and mail to :
Dakota Growers Mail Order
Dakota Growers Pasta Company
One Pasta Avenue
Carrington, ND 58421
Phone: (701) 652-2855
Fax: (701) 652-3552

All Prices are delivered. Call for special rates to Alaska and Hawaii.

Zone 1 - AR, CO, ID, IL, IN, IA, KS, MI, MN, MO, MT, ND, NE, OH ,SD, UT, WI, WY

Zone 2 - AL, AZ, CA, CT, DC, DE, FL, GA,KY, LA, ME, MD, MA, MS, NV, NH, NJ, NM, NY, NC, OK, OR, PA, RI, SC, TN, TX ,VT, VA, WA, WV

Total Case Qty ______________

Total Price: $________________