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PURCHASE FORM

an asterisk (*) denotes a required field

Name *

 

Address *

 

(no PO Box please)

 

City *

 

State *

 

Zip Code *

 

Phone *

 

Email *

 

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Fudge Descriptions:

  Please indicate how many pounds of each fudge you would like to order.
  We are not able to accommodate partial pound nor partial or
  mixed 6 pack orders at this time.
  $16 per pound   -  $25 per 6 pack
Butter Brickle Crunch   lbs.   Fudge On the Go - 6 pack
Chocolate   lbs.   Fudge On the Go - 6 pack
Dark Chocolate   lbs.   Fudge On the Go - 6 pack
Chocolate Walnut   lbs.   Fudge On the Go - 6 pack
Maple Nut   lbs.   Fudge On the Go - 6 pack
Mint Chocolate Swirl   lbs.   Fudge On the Go - 6 pack
Peanut Butter Chocolate Swirl   lbs.   Fudge On the Go - 6 pack
Raspberry Chocolate Swirl   lbs.   Fudge On the Go - 6 pack

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Specials:   Indicate the specials that you would like to order by placing their
  item number below.
 

Item #

   Qty.  

Item #

   Qty.

     

 

   

 

 

     

 

   

 

 

     

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Shipping:   Shipping rate will depend on the amount of fudge ordered
  and the state being shipped to.
   
*   I acknowledge that I will receive an invoice through PayPal within
  2 business days. My ordered fudge will not be shipped until I have
  paid the invoice, and the funds have been transferred.
Coupon Code  
Special Instructions:  


 

 

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