Soda Delivery, Inc.

Easy 2-step order form:

1. Fill in the number of 12 packs you want under "Quantity" (let our form do the math for you).
2. Fill out your delivery/billing info.

Note: You submit your order on the next page where you review it.

Step 1:
Product	Quantity	Price	Total
Coca-Cola		$4.00	$
Cherry Coke		$4.00	$
Cream Soda		$4.00	$
Diet Coke		$4.00	$
Dr. Pepper		$4.00	$
Grape Fanta		$4.00	$
Fresca		$4.00	$
Ginger Ale		$4.00	$
Mountain Dew		$4.00	$
Root Beer		$4.00	$
Sprite		$4.00	$
Sunkist		$4.00	$
Total Price:			$
Step 2:
First Name
Last Name
Daytime Telephone
E-Mail address
Dorm room:		Building Apt. Room
Today's date:		Month Day Year
How will you pay?		Cash Check