Peanut Order Form
There are three easy ways to order Kiwanis Peanuts.
1. Print out this form and mail it with your check or credit card information to
2. Phone in your order to President
3. Email your order, credit card and contact information to
□ Yes! I would like to help Kiwanis in their goal of “changing the world one child and one community at a time.”
Name: ________________________________________
Company Name: ________________________________________
Address: ________________________________________
________________________________________
Telephone number: ________________________________________
Email: ________________________________________
Credit Card number: ________________________________________
□ Visa □ MasterCard □ American Express □ Discover
Expiration date: _______________ Security code: _______________
Name on credit card: ________________________________________
Number of cases ($35.00 per case, 100 individual packets in each case) ______________
Total enclosed $_____________
Show your support of the community’s
children by taking advantage of our special bulk rates.
□
3 cases ----- $100
□
8 cases ----- $250
□
20 cases* ----- $500
□
50 cases* ----- $1,000
* With purchase of a 20 or 50 case
package a Kiwanis member will visit the purchaser’s place of business and hand
out peanuts to employees and/or customers to show appreciation for your
company’s support.
The Merrillville Noon Kiwanis thanks you for giving
back to the children of the community – the community that supports your company or business – and for
supporting programs including
Riley Ronald McDonald House • Merrillville Kiwanis Dictionary Project • Merrillville High School Scholarship • Salvation Army • 4-H Leadership Training • Riley Children’s Hospital • Meals On Wheels • March of Dimes • American Breast Cancer Foundation • Merrillville Education Foundation • 4-H Embryology Project • MHS Key Club • MHS Aktion Club • Merrillville Shop with a Cop • STAND • Alice House • and many others.