Southern Cricket Wholesale, Inc. Order Form
(This is a secure form, your cc numbers can't be seen by anyone but Southern Cricket)
"Notice: Crickets must be delivered to a location where someone will be present.
Southern Cricket will not be responsible for crickets left outside in the cold."
 
Minimum order amount $7.25 before freight


 

YOUR BILLING INFORMATION :
* Required Fields

*Name

Business Name

*Street Address

Address (cont.)

*City

*State/Province

*Zip/Postal Code

Country

*Daytime Phone

Evening Phone

*E-mail

 

PAYMENT INFORMATION

Payment Method

CC Number

CC Expiration Date MM/YY


Please call me at the daytime phone listed above.

Please provide your customer account number (if known):

Customer Acc't Number

 

SHIPPING INFORMATION
( IF DIFFERENT THAN BILLING INFORMATION )

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

 

YOUR ORDER:

QTY

DESCRIPTION

 

Questions or comments:

Have you ordered directly from Southern Cricket Wholesale before?

Yes No

**All orders will be confirmed via email within 24 business hours**
(Freight is extra. In the winter there may be cold packing charges.)




Copyright © 2000 [Southern Cricket Wholesale, Inc.].
All rights reserved. Revised: January 22, 2003