Please Fill Out the Order Form Correctly

Name of Organization (mandatory)

Name of Club (mandatory)

Name of Contact(mandatory)

Email of contact (mandatory)

Phone of Contact (mandatory)

Shipping address (mandatory)

Candy chosen :

La Montagne :
Main Street :

If paying by credit card a 2.5% surcharge will apply

We will confirm your order within 24 hours.

Purchase Order Number

Sales tax exempted

YesNo

Applying for credit

YesNo

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