Pony Point House Candles
Fund Raising Ordering Form


This Form Is For Pony Point House Candles Fundraiser Customers
Refer to your Fund Raising Order Form while completing this form.
Please Take Your Time And Fill In All The Info Below...Thank You.

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

    Candle Jam 4oz.
    P101  P102  P103  P104  P105  P106  P107  P108  P109
    P1010 P1011 P1012 P1013 P1014 P1015 P1016 P1017 P1018
    
    Candle Jams 8oz.
    P111  P112  P113  P114  P115  P116  P117  P118  P119
    P1110 P1111 P1112 P1113 P1114 P1115 P1116 P1117 P1118
    
    Mason Jars 16oz.
    P121  P122  P123  P124  P125  P126  P127  P128  P129
    P1210 P1211 P1212 P1213 P1214 P1215 P1216 P1217 P1218
    
    Mason Jars 32oz.                                        
    P131  P132  P133  P134  P135  P136  P137  P138  P139
    P1310 P1311 P1312 P1313 P1314 P1315 P1316 P1317 P1318
    Houselite Jars 16oz.                  
    P171  P172  P173  P174  P175  P176  P177  P178  P179
    P1710 P1711 P1712 P1713 P1714 P1715 P1716 P1717 P1718
    

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


     

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



  7. Total For All Items Sold          $


     

  8. Any Comments Or Questions?



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Revised: 08/26/04