Please Print, Fill Out and Fax Order Form to (608) 965-4510 or
Mail This Order Form To Above Address.
We Will Email or Call You With Order Total.
Please Check Contact Preference: Email_____ Telephone______
| Order Date | |
| SHIPPER: | SHIP TO: |
| Name | Name |
| Phone | Street |
| Street | City |
| City | State |
| State | Zip |
| Zip | Note |
| Phone | |
| Credit Card Information: | |
| Circle one Visa Master Card Discover Am. Exp. | |
| Enter card number and expiration date on same line | |
| Card No. Security code - The last three digits on the signature panel | |
| 8-Oz. Spreads | Price lb | Order |
|---|---|---|
| Sharp Cheddar | $2.70 | |
| Brick Type | Price lb | Order |
| Butter Kase | $5.99 | |
| German Brick | $5.39 | |
| Mild Brick | $2.99 | |
| Muenster | $2.99 | |
| Wunderbar Brick | $6.09 | |
| Cheddar Style | Price lb | Order |
| Cheddar Curd | $4.99 | |
| Extra Sharp Cheddar | $5.99 | |
| Medium Cheddar | $4.59 | |
| Mild Cheddar | $3.89 | |
| Sharp Cheddar | $4.99 | |
| Sharp White Cheddar | $4.99 | |
| Colby Type | Price lb | Order |
| Block Colby | $3.89 | |
| Co-Jack Block | $3.89 | |
| Longhorn Co-Jack | $4.39 | |
| Longhorn Colby | $4.39 | |
| Monterey Jack | $3.99 | |
| Pepper Jack | $4.39 | |
| Italian Type | Price lb | Order |
| Asiago | $6.59 | |
| Mozzarella | $3.69 | |
| Parmesan | $6.49 | |
| Provolone | $4.25 | |
| Romano | $9.95 | |
| Strevecchio (double aged parmesan) | $10.99 | |
| String Cheese | $4.79 | |
| Processed Cheese | Price lb | Order |
| American Slices | $3.45 | |
| Bacon | $3.89 | |
| Jalapeno | $3.89 | |
| Onion | $3.89 | |
| Salami | $3.89 | |
| Smoky Cheddar | $4.49 | |
| Vegetable | $3.89 | |
| Reduced Fat | Price lb | Order |
| Cheddar | $4.99 | |
| Swiss Lace | $5.29 | |
| Shipping & Handling | Price lb | Order |
| Foam Shipper | $11.00 | |
| Re-Usable Ice Brix | $1.00 | |
| Smoked Cheese | Price lb | Order |
| Baby Swiss Loaf | $5.59 | |
| Baby Swiss Wheel | $5.39 | |
| Natural Sharp Cheddar | $4.89 | |
| Natural Swiss | $5.30 | |
| Provolone | $3.99 | |
| String Cheese | $4.49 | |
| Specialty Type | Price lb | Order |
| Apple Jack | $4.19 | |
| Blue | $6.45 | |
| Farmer Cheese | $3.19 | |
| Gorgonzola | $6.69 | |
| Havarti | $5.99 | |
| Havarti / Dill | $5.79 | |
| Havarti / Jalapeno | $6.09 | |
| Justo (bread cheese) | $7.50 | |
| Limburger | $5.99 | |
| Tilsit Havarti | $8.49 | |
| Summer Sausage | Price lb | Order |
| 20 Oz. | $7.29 | |
| 6 Oz. | $2.45 | |
| 9 Oz. | $4.99 | |
| Landjaeger - 6 Pair Pack | $16.59 | |
| Landjaeger - Pair | $2.89 | |
| Swiss Type | Price lb | Order |
| Chalet Baby Swiss | $4.99 | |
| Medium Swiss | $4.79 | |
| Mild Swiss | $4.29 | |
| Sharp Swiss | $5.99 | |
| Wheel Baby Swiss | $6.19 | |
| Special requests to Roelli's or Note to be included with shipment: | We will ship UPS 3 day select or faster depending on destination. | |
| We hand cut our cheeses, all weights are approximate. Cheese is a perishable item. We package and ship appropriately to maintain quality. State and County sales tax applied to shipping charges only. | ||