Riversweet Citrus Sales - Fall Citrus Order Form

Fudge Order Form

If you are coordinating your fudge to arrive at the same time as your fruit order, please see to it that you arrange to have your fudge arrive at least two days before your fruit. This will take into account that UPS deliveries take an extra day or two during the busy holiday season.

General Information:

Your Organization's Name:

School Name (if applicable):

Your Name:

Day Phone: Evening Phone:

e-mail address: Fax Number:

Requested Del. Date: Requested Del. Time:

Information About Your Order:

This order is:

Our Original Order
A Change to our Original Order

Numbers Listed Below Represent:

New Totals
Just Changes to Our Original Order

With Respect to Sales Tax:

DO NOT Charge us Sale Tax
CHARGE US SALES TAX

Numbers Listed Below Are:

Our Final Numbers
Tentative Numbers

Your Order:

1. 20 oz. Chocolate Walnut:..............

2. 20 oz Peanut Butter:.......................

3. 20 oz Chocolate :............................

4. 20 oz. Maple Walnut:......................

5. 20 oz Strawberry Cheesecake ....

6. 8 oz Chocolate Walnut Tub:..........

7. 8 oz Chocolate Tub :......................

8. 8 oz Peanut Butter Tub :................

9. 8 oz. Maple Walnut Tub :...............

DELIVERY LOCATION FOR FUDGE:

Deliver Fudge To:

Delivery Address:

Address 1:

Address 2:

Address 3:

City: State: Zip Code:

Phone:

Name of Local Contact: