Butter Creme Fudge Since 1984
210 Commercial Street
Provincetown, MA 02657
508 487-2850
ORDER FORM
Name:
Address:
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Telephone (Day):
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SHIP TO, IF DIFFERENT FROM ABOVE:
Name:
Address:
City:
State:
Zip Code:
Gift Message:
Method of Payment:
Mastercard
Visa
Card No:
Expires:
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FUDGE
Flavor:
Quantity:
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Quantity:
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Quantity:
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Quantity:
$10.50 Per pound, sold in 1/2 pound slices TOTAL: $
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SUGAR FREE FUDGE
Flavor:
Quantity:
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Quantity:
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Quantity:
$13.00 Per pound, sold in 1/2 pound slices TOTAL: $
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PEANUT BUTTER CUPS
Flavor:
Quantity:
Flavor:
Quantity:
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Quantity:
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Quantity:
$5.25 sold in lots of 5 cups TOTAL: $
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SALT WATER TAFFY
$ 6.50 per pound: Quantity:
TOTAL: $
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TRUFFLES
Flavor:
Quantity:
Flavor:
Quantity:
Flavor:
Quantity:
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Quantity:
$10.00, sold in lots of 5 truffles TOTAL: $
SUB TOTAL: $
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SHIPPING AND HANDLING
$0. - $10.50 = $7.00
$10.51 - $21.00 = $8.00
$21.01 - $31.50 = $9.00
$31.51 - $42.00 = $10.00
$42.01 and up = $11.00
SHIPPING: $
TOTAL: $