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
Sign in to Google to save your progress. Learn more
Email *
Are you a new or existing customer? *
What cheese(s) would you like to order? *
How many of each? *
First and Last Name *
Mailing street address *
City *
State *
Zip Code *
Phone number *
Preferred contact method *
Questions and comments
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of DCS Netlink. Report Abuse