© 2006 Fudge Utopia LLC
Billing Information
Name
Address
City, State, Zip
Phone
Email
Shipping Information
Name
Address
City, State, Zip
Phone
Order
*All prices Include tax
1 lb Nut Fudge
0
1
2
3
4
5
6
7
8
9
10
$20
1/2 lb Nut Fudge
0
1
2
3
4
5
6
7
8
9
10
$10
1 lb Nutless Fudge
0
1
2
3
4
5
6
7
8
9
10
$20
1/2 lb Nutless Fudge
0
1
2
3
4
5
6
7
8
9
10
$10
Subtotal:
$ 0.00
Payment method
(Will not be shipped until payment is received)
Cash
Check
Delivery
Please choose your preferred delivery method:
Delivery
($8 delivery fee)
Pick up at The Wooden Chair
Date of pick up, if picking up at The Wooden Chair:
Special Instructions
• Would you like a special message to be written on the card with your order?
• Comments? Questions? Concerns?
If your fudge is being shipped to more than one location, please submit a new order for each address.
Submit Your Order
