Customer Contact Information and Wholesale Order Form
When placing an order, please fill out this form and submit it at least 3 business days in advance to guarantee fulfillment.
Customer Contact Information
Please complete the items marked with a red asterisk (*) so that we can ensure that we have the most updated contact, shipping, billing, and business information for you. Please complete the rest of the form if it is relevant to you. You may also use the bottom of this form to place a new wholesale order.
Customer Information
Business Name
*
State Sales Tax Number
*
Alabama only
Primary Contact
*
First Name
Last Name
Contact Number
*
E-mail
*
example@example.com
Accounts Payable Information
Complete this ONLY IF different than primary contact.
AP Contact Name (who handles invoices/payments?)
First Name
Last Name
AP Email Address (where should invoices/statements be sent?)
example@example.com
AP Phone (optional)
Please enter a valid phone number.
Preferred Contact Method
Please Select
Email
Phone
Text
Choose One
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
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Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
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Hungary
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Iran
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Kenya
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Libya
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
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Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
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Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
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Samoa
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eSwatini
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Vanuatu
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Is shipping/delivery address same as billing address?
Yes
No
Shipping/Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
McEwen & Sons Products
Categories:
All
All
Grits
Cornmeal - Coarse
Polenta
Cornmeal - Fine
Mixed Products
Other
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Grits
White Grits
$
6.95
Size
Quantity
Price
1.25lb
$
6.95
2lb
$
8.95
10lb
$
40.00
Item subtotal:
$
0.00
Blue Grits
$
7.95
Size
Quantity
Price
1.25lb
$
7.95
2lb
$
9.95
10lb
$
50.00
Item subtotal:
$
0.00
Speckled Grits
$
6.95
Size
Quantity
Price
1.25lb
$
6.95
2lb
$
8.95
10lb
$
40.00
Item subtotal:
$
0.00
Yellow Grits
$
6.95
Size
Quantity
Price
1.25lb
$
6.95
2lb
$
8.95
10lb
$
40.00
Item subtotal:
$
0.00
Crimson Grits
$
7.95
Size
Quantity
Price
1.25lb
$
7.95
10llb
$
50.00
Item subtotal:
$
0.00
Cornmeal - Coarse
Coarse Ground White Cornmeal
$
5.45
Size
Quantity
Price
2lb
$
5.45
10lb
$
35.00
Item subtotal:
$
0.00
Coarse Ground Yellow Cornmeal
$
5.45
Size
Quantity
Price
2lb
$
5.45
10lb
$
35.00
Item subtotal:
$
0.00
Polenta
Yellow Polenta
$
6.95
Size
Quantity
Price
2lb
$
6.95
10lb
$
35.00
Item subtotal:
$
0.00
White Polenta
$
6.95
Size
Quantity
Price
2lb
$
6.95
10lb
$
35.00
Item subtotal:
$
0.00
Cornmeal - Fine
Fine Ground White Cornmeal
$
4.95
Size
Quantity
Price
2lb
$
4.95
10lb
$
30.00
Item subtotal:
$
0.00
Fine Ground Yellow Cornmeal
$
4.95
Size
Quantity
Price
2lb
$
4.95
10lb
$
30.00
Item subtotal:
$
0.00
Fine Ground Blue Cornmeal
$
5.45
Size
Quantity
Price
2lb
$
5.45
10lb
$
35.00
Item subtotal:
$
0.00
Mixed Products
Self-Rising Cornmeal
$
5.95
Size
Quantity
Price
2lb
$
5.95
10lb
$
35.00
Item subtotal:
$
0.00
Hush Puppy Mix
$
5.95
Size
Quantity
Price
2lb
$
5.95
10lb
$
35.00
Item subtotal:
$
0.00
Fish Batter
$
5.95
Size
Quantity
Price
2lb
$
5.95
10lb
$
35.00
Item subtotal:
$
0.00
Other
Popcorn
$
3.95
Size
Quantity
Price
1.5lb
$
3.95
10lb
$
35.00
Item subtotal:
$
0.00
Rolled Oats
$
6.95
Size
Quantity
Price
2.5lb
$
6.95
7.5lb
$
19.95
Item subtotal:
$
0.00
Preferred Fulfillment
Preferred Ship/Delivery Date
-
Month
-
Day
Year
Note: normal Birmingham deliveries happen on Fridays
Delivery Method
Please Select
Local Delivery
Ship (UPS, Fedex, USPS)
Pick-up
Special Instructions/Notes for Invoice
Confirmation
I confirm the order details above are correct
Yes
Place Order
Should be Empty: