NAME:PHONE:ORGANIZATION:TURN IN DAY:DELIVERY DAY:

Cust

omer

Nam

e

Pho

ne N

o.

CUSTOMER DOLLAR TOTALS

ITEM TOTALS

CUSTO

MER’S

DOLLA

R TOT

AL

DOLLAR TOTAL

PAID

Santa & SleighTrainChristmas TreeCandy CaneMeltieCaramel Sea SaltMeltie PretzelOreosNonpareilsMini PretzelsM/D Assorted Gift BoxMilk Assorted Gift BoxPeanut Butter LoversGreeting Bar w/TrufflesCheddarKettleBuffalo & RanchCaramel PeanutCaramel Sea SaltSpiderMeltieCinnamon BunChristmas CupcakeTraditional TinsFavorites TinsPeanut ButterMeltieChocolate WalnutPeppermint BarkPeppermint SticksGummi BearsSour Gummi WormsPeach RingsJumbo Salted CashewsMixed NutsPeanut Brittle

$9$16

$8$6

$12$12$12$10$12$12$12$12$20

$8$7$7$7$8$8$9$8$8$8

$18$18

$7$7$7$7$5$5$5$5

$10$10

$8

$9$16

$8$6

$12$12$12$10$12$12$12$12$20

$8$7$7$7$8$8$9$8$8$8

$18$18

$7$7$7$7$5$5$5$5

$10$10

$8

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ITEM5.5 oz.11.5 oz.5 oz.3.5 oz.8 oz.8 oz.8 oz.7 oz.8 oz.8 oz.8 oz.8 oz.14 oz.5 oz.10 c.10 c.10 c.10 c.10 c.10 c.10 c.10 c.10 c.1 gal.1 gal.8 oz.8 oz.8 oz.8 oz.16 oz.16 oz.16 oz.16 oz.12 oz.12 oz.10 oz.

WT.123456789

101112131415161718192021222324252627282930313233343536

ITEMNO.

TOTAL ITEMCOUNT

MULTIPLYPRICE

DOLLARTOTALDESCRIPTIONS PRICE

✗

CHOCOLATE SHAPES TINS

CHOCOLATESFUDGE

NUTSCANDY

POPCORN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15NOTE: All products are manufactured ina facility that also processes milk, egg,wheat, peanuts, soy & tree nuts.

$

$Customer’s dollar total

should match dollar total.

FUNDRAISING

C

M

Y

CM

MY

CY

CMY

K

BC_Form-XmasFund-BACK.pdf 1 8/25/17 12:40 PM