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CHOCOLATE | FUDGE | ASSORTED CHOCOLATE | GIFT BASKETS | POPCORN CANS | CANDY ORDER FORM | POPCORN ORDER FORM |
|---|
| SHIP ON:______________________________________________ | FROM:________________________________________________ |
| TO:___________________________________________________ | ADDRESS:_____________________________________________ |
| ADDRESS:_____________________________________________ | CITY:__________________________________________________ |
| CITY:__________________________________________________ | STATE:__________________________________ZIP:___________ |
| STATE:_________________________________ZIP:____________ | SAY TIME PHONE:______________________________________ |
| GIFT CARD:____________________________________________ | _______________________________________________________ |
QTY. |
2 GALLON CANS |
PRICE |
______ |
BUTTER CORN...................................................................................................................................................................... | $13.99 |
| ______ | CHEESE CORN...................................................................................................................................................................... | $18.99 |
| ______ | CARAMEL-CHEESE-BUTTER.............................................................................................................................................. | $20.99 |
| ______ | CARAMEL-CHEESE-CINNAMON...................................................................................................................................... | $23.99 |
| ______ | CARAMEL.............................................................................................................................................................................. | $25.99 |
| ______ | CINNAMON........................................................................................................................................................................... | $25.99 |
| ______ | POPCORN BRITTLE WITH PECANS AND ALMONDS..................................................................................................... | $44.99 |
QTY. |
3.5 GALLON CANS |
PRICE |
______ |
BUTTER CORN...................................................................................................................................................................... | $17.99 |
| ______ | CHEESE CORN...................................................................................................................................................................... | $25.99 |
| ______ | CARAMEL-CHEESE-BUTTER.............................................................................................................................................. | $29.99 |
| ______ | CARAMEL-CHEESE-CINNAMON...................................................................................................................................... | $31.99 |
| ______ | CARAMEL........................................................................................................................................................................... | $33.99 |
| ______ | CINNAMON........................................................................................................................................................................... | $33.99 |
| ______ | POPCORN BRITTLE WITH PECANS AND ALMONDS..................................................................................................... | $54.99 |
QTY. |
6.5 GALLON CANS |
PRICE |
______ |
BUTTER CORN..................................................................................................................................................................... | $23.99 |
| ______ | CHEESE CORN..................................................................................................................................................................... | $31.99 |
| ______ | CARAMEL-CHEESE-BUTTER............................................................................................................................................. | $34.99 |
| ______ | CARAMEL-CHEESE-CINNAMON..................................................................................................................................... | $38.99 |
| ______ | CARAMEL........................................................................................................................................................................... | $38.99 |
| ______ | CINNAMON.......................................................................................................................................................................... | $38.99 |
| ______ | POPCORN BRITTLE WITH PECANS AND ALMONDS.................................................................................................... | $84.99 |
| ____ | Visa Card | SHIPPING & HANDLING |
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| CANISTERS | $______ | ____ | Master Card | 50 STATES |
| SHIPPING | $______ |
____ | Discover Card | 2 GAL. $12.50 |
| TAX 8.525% | $______ | ____ | American Express | 3.5 GAL. $14.00 |
| TOTAL | $______ | ____ | Check Amount (Mail Only) $__________ | 6.5 GAL. $17.00 |
| Card Number__________________________________ | __________________ | |||
| Exp._________ | ||||
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