2017 Fundraising Order Form
This order form is to be used by registered fundraisers.
Any questions? Please call (603) 744-0405.
Team Name
Your answer
Organization Name for Commission Check
Payable to whom?
Your answer
Shipping address to receive fudge
Your answer
Name of Top Selling Participant
Your answer
How many boxes of each flavor?
Please make sure to double check your numbers.
Belgian Chocolate
Your answer
Chocolate Coconut
Your answer
Chocolate Peanut Butter
Your answer
Chocolate Raspberry
Your answer
Chocolate Salted Caramel
Your answer
Chocolate Walnut
Your answer
Chocolate Mint
Your answer
Maple Walnut
Your answer
Original Penuche
Your answer
Peanut Butter
Your answer
Pure NH Maple
Your answer
Sugar-free Chocolate
Your answer
Payment
Your order will not be processed until payment is received. Please send 100% of fudge funds received. A delay in payment may cause a delay in shipment. Your fundraising check will be included with your fudge shipment.

Please mail check(s) today. Make all checks payable to "The Mill Fudge Factory" to 2 Central Street, Bristol, NH 03222 ~ Please do NOT send cash. Please retain all printed materials for your records.

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