WECK® HOME CANNING PRODUCTS Page 1 of 2 RETAIL ORDER FORM 11/09 Ship to NAME____________________________________________________________________________________ ADDRESS _________________________________________________________________(not a P.O._Box) City __________________________________________State __________ Zip Code __________________ Check Method of Payment: ( ) Check or money order ( ) Master Card ( ) Visa Acct #_____________________________________ V Code (3 digit # on back of card) __________________________ Exp. Date ______________________ Signature__________________________________________ Daytime Phone: _____________________ Fax Number _________________Today’s Date______________ Email Address ____________________________________________ Please indicate below if billing address on credit card is different than shipping address Bill to: ________________________________________________ ________________________________________________ _________________________________________________ ART. # BOX 905 box 908 box PRODUCT INCL. JAR, GLASS LID, RUBBER RINGS & CLAMPS MOLD SHAPE 080 Mini Mold Jar 12 jars w/ glass lids, 12 rings, & 24 clamps 1/5 L Mold Jar (short) 6 jars w/ glass lids, 6 rings & 12 clamps ¼ L Mold Jar 6 jars w/ glass lids, 6 rings, & 12 clamps ½ L Mold Jar 6 jars w/ glass lids, 6 rings, & 12 clamps ¾ L Mold Jar 6 jars w/ glass lids, 6 rings, & 12 clamps 760 Mini Mold Jar 12 jars w/ glass lids, 12 rings, & 24 clamps 1/5 L Mold Jar (tall) 6 jars w/ glass lids, 6 rings, & 12 clamps TULIP SHAPE ½ L Tulip Jar 6 jars w/ glass lids, 6 rings, & 12 clamps 1 L Tulip Jar 6 jars w/ glass lids, 6 rings, & 12 clamps Mini Tulip Jelly Jar 6 jars w/ glass lids, 6 rings, & 12 clamps DECO SHAPE 1 L Deco Jar 4 jars w/ glass lids, 4 rings, & 8 clamps ½ L Deco Jar 6 jars w/ glass lids, 6 rings, & 12 clamps Mini Deco Jar 6 jars w/ glass lids, 6 rings, & 12 clamps JUICE SHAPE ½ L Juice Jar 6 jars w/ glass lids, 6 rings, & 12 clamps 1 L Juice Jar 6 jars w/ glass lids, 6 rings, & 12 clamps CYLINDRICAL SHAPE ½ L Asparagus Jar 6 jars w/ glass lids, 6 rings, & 12 clamps 1 L Asparagus Jar 6 jars w/ glass lids, 6 rings, & 12 clamps TRAY 763 tray INCL. JAR, GLASS LID, RUBBER RINGS, & CLAMPS ¼ L Juice Jar Tray 4 jars w/ glass lids, rubber rings, & clamps TWIST INCL. JAR WITH TWIST OFF TOP (NOT FOR CANNING PURPOSES) 903 twist Mini Deco Jar 080 box 740 box 741 box 742 box 743 box 760 box 900 box 744 box 745 box 762 box 748 box 901 box 902 box 764 box 766 box 12 jars with goldtone twist off lid PRICE $ 18.70 / box $ 15.25 / box $ 16.50 / box $ 18.40 / box $ 19.50 / box $ 22.20 / box $ 15.25 / box $ 17.75 / box $ 21.00 / box $ 13.25 / box $ 19.85 / box $ 17.95 / box $ 13.55 / box $ 17.85 / box $ 23.30 / box $ 18.25 / box $ 21.00 / box $ 11.10 / tray $ 19.30 / case QTY. TOTAL Page 2 of 2 PRODUCT *** *** PRICE ACCESSORIES Large Rubber Rings for mold / tulip / deco jars Medium Rubber Rings for 1/5 L tall mold jar / ½ L deco jars /1 L Aspar. Small Rubber Rings for juice / jelly jars / ¼ L deco jar / mini mold, ½ L Aspar Clamps (12 clamps per bag-- enough for 6 jars— all jars --clamps are reusable) Large Keep-Fresh Covers for mold / tulip / deco jars Medium Keep-Fresh Covers for 1/5 L tall mold / ½ L deco jar / ½ L Aspar. ) Small Keep-Fresh Covers for juice / jelly jars / ¼ L deco jar / mini mold Large Glass Replacement Lid for mold / tulip / deco jars Medium Glass Replacement Lid 1/5 L tall mold jar / ½ L deco jars Small Glass Replacement Lid for juice / jelly jars / ¼ L deco jar / mini mold Jar Lifter Funnel for large mouth jars only Labels 100 per package Canner Rack Stainless Steel Lid for canners Stainless Steel Electric Water Bath Canner with Plastic Lid and Rack Stainless Steel Electric Water Bath Canner with Faucet, Plastic Lid and Rack $ 1.50 / 6 per bag $ 1.40 / 6 per bag $ 1.30 / 6 per bag $ 2.50 / 12 per bag $ 2.75 / 5 per bag $ 2.55 / 5 per bag $ 2.35 / 5 per bag $ .75 / each $ .65 / each $ .50 / each $ 10.75 each $ 9.50 each $ 2.50 pkg $ 12.50 each $ 50.00 each $225.50 each $272.50 each QTY. TOTAL OUT OF STOCK OUT OUT OF STOCK OF STOCK Total From Page 1 __________ (US shipments excluding Alaska & Hawaii) Page 1 & 2 Totals __________ (No US Mail shipments) Illinois Residents add 7.75% Sales Tax __________ Not including canner *Zip Codes 74999 & Below Add 27% of Merchandise (min. of $11.00) Not including canner *Zip Codes 75000 & Higher add 29% of merchandise (min. of $13.00) _________ ***Zip Codes 74999 & Below Shipping for Electric Canner = $28.00 *** Zip Codes 75000 & Higher Shipping for Electric Canner = $32.00 __________ GRAND TOTAL ___________ *All orders over $150.00 without the purchase of a canner must get a shipping quote Mail to: Glashaus, Inc 450 E Congress Pkwy. Ste.E Crystal Lk, IL 60014 Phone in: (815) 356-8440 Fax to: (815) 356-8450 Web Site: www.weckcanning.com Email: info@weckcanning.com