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Online Order Form

   Ship To:
    (Use Business Name When Applicable.)
    (Include any delivery instructions or notes.)
    (Orders will not be shipped to PO Boxes. [UPS regulations])
  
All orders are confirmed before shipping. Make sure your contact information is correct.
Contact Name:
E-Mail Address:
Daytime Phone:
Evening Phone:
   
Wrapper Style:
  All candy bars are sold by the case (180 bars), with ONE kind per case. Sorry, no partials or splits!
  Description Unit $ Quantity Cost
  2.0 oz. Pure Milk Chocolate with Crisp Rice $90.00
  2.0 oz. Pure Milk Chocolate with Roasted Almonds $90.00
  2.1 oz. Pure Milk Chocolate with Soft Caramel $90.00
  2.0 oz. Pure Milk Chocolate with Peanut Butter $90.00
  Subtotal
  Shipping
  Total
Method Of Payment:
    Online ordering limited to credit cards only. For other forms of payment, use the fax / mail in form.
MasterCard
VISA
Name
(as it appears on credit card)
16 Digit Card Number
3 Digit Verification Code
(on card back)
Card Expiration Date  
Total amount
Check here to confirm your order,
and enable the submit button
    Click to Print Receipt
 
   

Questions? Visit our FAQ (Frequently Asked Questions) page to get answers to common questions, or contact us using the following methods:
  • Call us at 1-800-728-4055 - we can promptly fax you an order form
  • Fax us at 1-800-341-9666
  • Email us at ATFund@aol.com

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