Perfetti June Shipment

Fill out the form below to place an order. RBG will place the order on your behalf with your wholesaler. If we are unable to place your order, you will be notified by an RBG representative.

QTY	Item Name	UPC	McLane UIN #	Unit Size	Case Pack	Cost	Unit Cost	SRP
	Airheads Bites White Mystery	73390-03013	985101	2oz	18	$10.80	$0.60	$1.29
	Airheads Gum Wallet White Mystery	73390-02077	TBD	1.2oz	12	$8.76	$0.73	$1.29
*cost does not include wholesaler/distributor upcharge.

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Place my Perfetti Airheads Bites and Gum Order

Location/Corporation Name: Enter Company

Distributor Name: Enter Distributor Name

Location Address: Enter Location Address

Distributor #: Enter Distributor #

City: Enter City

Contact Name: Enter Contact Name

State: Enter State

Phone Number: Enter Phone Number

Zip code: Enter Zip

Email: Enter Email

Corporation DBA: Enter Corporation DBA

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