Badger West Wine & Spirits - On-Line Order Form


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This on-line order form is available to
LICENSED CUSTOMERS OF BADGER WEST WINE & SPIRITS ONLY.

Account Number, Contact Name and Email Address are required.

A confirmation will be sent to you from a Badger West sales representative verifying that your order has been received.

If you have any questions, please contact info@badgerwest.com.

We are a wholesaler for NW Wisconsin only, we can not sell to individuals.

Thank you for your order.

Account Number:

Business Name:

Contact Person:

Business Phone Number:

City:

E-Mail Address:

Product#	Description	Type (Choose A Category)	Size	# Of Cases	# Of Bottles

Please Enter Any Comments Here:

To find product #'s and information, click on the following links: Wines, Spirits, Malts, Alcohol-Free.



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© Badger Wine & Spirits, LLC Street Address: 5400 Old Town Hall Rd., Eau Claire, WI 54701 Postal Address: P.O. Box 869, Eau Claire, WI 54702-0869 Ph: 715-836-8600, Fax: 715-836-8609	General Information: info@badgerwest.com Badger Liquor-Fond du Lac, WI: www.badgerliquor.com