Colleges

Order Date


GCAA MEMBER ORDER FORM

School Name:			Credit Card Type:
Shipping Address			Name on Card:
City/State/Zip	/ /		Card#:
Billing Address			Exp. Date (MM/YY):		/
City/State/Zip	/ /		Notes:
Phone
Fax
Contact Name
P.O. No.


UPC No.	Description	Quantity Boxes	Price/Box	Price/Case	Price/Unit	Total
8 98579 00201	Marathon of Miracles Fruit & Nut Bar 12/45g		$9.00	$50.40	$0.75
8 98579 00202	Marathon of Miracles Dark Chocolate Bar 12/45g		$9.00	$50.40	$0.75
8 98579 00203	Marathon of Miracles Smoked Almonds w/Calcium 15/1oz		$11.25	N/A	$0.75
8 98579 00204	Marathon of Miracles Cashews w/Fiber 15/1oz		$11.25	N/A	$0.75
					TOTAL
Free shipping on orders of $100 or more



www.golfenergybar.com \| Phone: (888) 638-8686 \| Fax: (909) 373-4039 \| Email: melissa@golfenergybar.com
SCNS Sports Foods \| 4600 Arrow Highway, Montclair CA 91786 \| Hours: 6:30 AM to 5:00 PM Pacific Time

Please enter your password