Valentine's Order Form
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From:______________________________
Address:____________________________
City:________________________________
State:______________________________
Phone:_____________________________
TO:________________________________
Address:____________________________
City:_______________________________
State______________________________
Zip:________________________________
Gift Card:___________________________
Laura Little's Candies
2100 West 75th. St.
Prairie Village, KS. 66208
913-722-2226
Fax: 913-722-0143
E-mail: laurasfudge@sbcgloba.net
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Shipping To 48 States Only
Hearts: $_________
Shipping:    $8.99
Total:   $_________
4oz. Fudge $6.49
Milk Chocolate Heart
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8oz. Fudge $10.99
Milk Chocolate Heart
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4oz. Van. Peanut Butter  $6.49
Milk Chocolate Heart
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4oz. Truffle $6.49
Dark Chocolate Heart
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 8oz Truffle $10.99
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4oz. $6.49
Dark Chocolate Heart
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2oz. Marshmallow $6.49
Milk Chocolate Heart
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4oz. $6.49
Peanut Butter Crispy Heart
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3oz. Plain Caramel $6.49
Milk Chocolate Heart
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  5oz. Marshmallow $10.99
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8oz. Dark Hearts $10.99
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 6oz. Plain Caramel $10.99
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3oz. Pecan Caramel $6.49
Milk Chocolate Heart
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3.5oz. Solid Milk Chocolate Heart
$6.49
Print First Name Below
3.5oz. Solid Dark Chocolate Heart
$6.49
Print First Name Below
3.5oz. Solid Sugar Free  $9.99
Milk Chocolate Heart
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6oz. Pecan Caramel $10.99
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 3.5oz. White Chocolate Heart $6.49
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