2019 Mother's Day Fundraising Order Form
This order form is to be used by registered fundraisers.
Any questions? Please email Linda at linda@themillfudgefactory.com

Note: All flavors are listed but each season has only specific flavors offered for fundraisers.
Team Name *
Organization Name for Commission Check *
Payable to whom?
Shipping address to receive fudge *
Number of participants who took orders *
Name of Top Selling Participant *
How many boxes of each flavor?
Please make sure to double check your numbers.
Belgian Chocolate *
Chocolate Salted Caramel *
Chocolate Peanut Butter *
Chocolate Walnut *
Chocolate Raspberry *
Peanut Butter *
Penuche *
Maple *
Total number of boxes ordered
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