Pony Point House Candles
Fundraising Ordering Form


This Form Is For Pony Point House Candles Fundraiser Customers
Refer to your Fundraiser Tally Sheet while completing this form.
Please Take Your Time And Fill In All The Info Below...Thank You.
Please Note If Your An AOL Customer This Form Page May Not Work.
Any Questions Please Call 856-455-9331

Contents


  1. Please Provide Us With Your Contact Information

    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
    URL

     

  2. Please Provide Us With Your Fundraiser Info


  3. Please List Total Number Of Items Sold In Fundraiser

    QTY
    How Many Candles


    
    
    
  4. Enter Quantity Amount For Each Item# Sold

    Country Comfort 12oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Country Comfort 16oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Flared Square 5oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Flared Square 16oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Candle Jam 4oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Candle Jam 8oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Mason Jars 16oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry
    Mason Jars 32oz.
    
    Bayberry       Berry Christams     Coconut Lime Verbena     Honeydew
    
    Honeysuckle    Housewarming        Pumpkin Spice            Wild Strawberry

     Please Double-Check Your Info Before You Submit Form......Thank You!


  5. Enter The Date Of This Order   -- mm/dd/yy


     

  6. Enter Time Of This Order         --hh:mm:  am/pm



  7. Total For All Items Sold          $


     

  8. Any Comments Or Questions?


Copyright 2004 [PonyPointCandles]. All rights reserved.
Revised: 03/03/12




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