Popsburgh Wholesale Order Request
**THIS ORDER FORM IS ONLY FOR RETAILERS/BUSINESSES PURCHASING POPS FOR RESALE.
Are you a new or existing customer?
I am a new customer
I am an existing customer
Which flavors would you like to order?
Strawberry [10 Pops]
Black Cherry [10 Pops]
Pineapple [10 Pops]
Lemonade [10 Pops]
Mango Dream (w/ Greek Yogurt) [10 Pops]
Berry Swirl (w/ Greek Yogurt) [10 Pops]
Hibiscus Blackberry [10 Pops]
Peach Ginger [10 Pops]
Kiwi-Honeydew-Cucumber [10 Pops]
Mango-Basil Diablo (w/ Cayenne Pepper) [10 Pops]
Watermelon Mint [10 Pops]
Fresh Coconut (10 Pops)
Additional Quantity Desired?
10 of each flavor is OK.
I'll need more than 10 of some/all flavors (Please indicate specifics in the Comments/Questions section below.)
How will you be paying?
Cash (paid on delivery)
Check (paid on delivery)
Credit Card (processed w/ physical card @ time of delivery)
Credit Card (processed w/o physical card, or at time other than delivery - 5% fee added to invoice)
Standard delivery (within 7 business days)
Expedited Delivery - FEES MAY APPLY
Preferred contact method
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