Order Request

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Order Request

After you fill out this order request, we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information on current stock and pricing please contact us at (715) 637-5367 or countrylane@countrylanemarket.com.
*Prices are subject to change at anytime

Are you a new or existing customer? *

I am a new customer

I am an existing customer

What cheese(s) would you like to order? *

Colby longhorn 6lb

Cheddar longhorn 6 lb

Colby Jack longhorn 6lb

Pepper Jack longhorn 6 lb

Other (Please list what cheese in next section)

Required

How many of each? *

First and Last Name *

Mailing street address *

City *

State *

Zip Code *

Phone number *

Preferred contact method *

Phone

Required

Questions and comments

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