Wholesale Order Form Order InfoName* First Last Title* Email* Billing InfoThis is where the invoice will be sentName* First Last P.O./Reference # Sales Tax License # (required if you are a Colorado company) Company Name* Phone*Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Special InstructionsShipping InfoShipping Method* Product shipped to customer at customer's expense (amount TBD) HiddenShipping Method* Product shipped to customer at customer’s expense Name First Last Company Name Shipping Address* Same as billing Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Brewery Products(Most brewers are using the Unsweetened Cholaca. If you received a sample from us, it was Unsweetened)Cholaca Unsweet 5 gal Aseptic Bag in Box Price: $315.00 Quantity: Cholaca Unsweet 2 gal (1 case of 8 32 oz bladders) Price: $152.00 Quantity: Liquid Coconut - 5 Gallon Bag in Box Price: $302.50 Quantity: Liquid Coconut - 50 Gallon Drum Price: $2,915.00 Quantity: Cholaca Bulk Cacao ProductsChaparral, Colombia cacao: KosherCholaca Single bag - Chaparral (55.1 lbs @ $7.50/lb) * Price: $413.25 Quantity: Cholaca Pallet - Chaparral (2200 lbs. @ 4.50/lb.) for 1 or 2 pallets * Price: $9,900.00 Quantity: Total $0.00 PLUS SHIPPING* Please review your order for accuracy before submitting. By clicking the “submit order” below button, you understand that SHIPPING CHARGES will apply to your final invoice. Storage fees will be incurred on any pickup orders that are not picked up within 30 days of pickup date. * Kosher available by special order. Please contact info@cholaca.com for more information. CAPTCHA Δ
