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Printable Order Form

This printable form is provided for offline orders sent by fax or regular mail.
Upon receipt of your order and payment, we will ship your order.
Please fax to 818-842-8084. We ship UPS Ground.
$75 MINIMUM ORDER

SHIP TO:
Name: _______________________________________________________________________
Address: _______________________________________________________________________
Address: _______________________________________________________________________
City: _________________________ State/Province: _____________Zip Code:_________
Country: _________________________ Phone Number: ______________________________
E-Mail Address: _______________________________________________________________________

Item Description

Item/Mold #

Price Each

Quantity Total
Shipping Costs (add 24% to the total). We ship UPS Ground.
California Residents only - please add 8.5% sales tax
Total Amount Enclosed

Payment Information (Check one)
Check or Money Order - Make payable to: Candy Plus
Credit Card (Circle one) MastercardSTUPIDVisaSTUPIDAmerican ExpressSTUPIDDiscover
Card #___________________________________ Exp. Date __ __/__ __ (MM/YY)

Cardholder's Name & Signature _________________________________________________________

Please mail this form along with payment to:
Candy Plus
1046 N. Keystone
Burbank, CA 91505
E-mail: info@wholesalecandymolds.com