Fundraising Sales Order Form

To contact Bass Pecan Company about fundraising orders, please fill out the form below. You may also contact us by calling our toll-free number 1-800- PECANS-1 or by Emailing us at customerservice@basspecan.com .

First Name:

Last Name:

Organization:

Address:

City:

State:

Zip Code:

Email Address:

Home Phone: (Use format 000-000-0000)

Cell Phone: (Use format 000-000-0000)

How would you like us to contact you?

When is the best time to contact you?

How did you hear about us?

Comments or Questions:
(up to 500 characters)