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WCI West Central Illinois Food CooperativePre-Order Form
Pick up Date: _________________________Click Here for PDF Verson
Member Name: ____________________________
Member Number: __________Home Phone: ______________________
Work Phone: ______________________
E-Mail:___________________________________________________________
Please indicate the exact number you are ordering in the # I Want column. Please leave the Ordered
column blank. Under Page #, indicate the catalog page on which the item appears (add an * if it is from the monthly sales catalog). Print this out.
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