Please return via scan/email, fax or mail. Spanish Version: Bulkfoods.com/ccletteraas.htm

Pending Order Confirmation Number:_________________ 

This form is needed, when not shipping to the credit card billing address.

Alternate Address Form

Bulkfoods.com / Natural Foods Inc 3040 Hill Ave Toledo, OH 43607 USA

Fax:    Email: Phone: (419) 537-1713 

I authorize my credit card purchases to be shipped to this alternate address:

Company ________________________ Address _____________________________

City ____________________ State _______ Zip __________ Country ____________

Credit card statement address:

Address _______________________________ City ____________ State _______ Zip ________

Phone  ________________________   Country  _________________

Name on credit card (please print):  ___________________________ 

Date______________  Signature:  ____________________________

F:/wp51/forms/ccletteraa.doc . Bulkfoods.com/terms.asp . Bulkfoods.com/ccletteraa.htm