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. 


  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. 


  5. 


    







Enter The 

Date Of This 

Order  









-- mm/dd/yy
    


    


     
    


    6. 


  6. 


    







Enter Time 

Of This Order        









--hh:mm:  

am/pm
    


    



    


    


    7. 


  7. 


    







Total For 

All Items 

Sold          

$






    


    


     
    


    8. 


  8. 


    





Any Comments 

Or Questions?
    


    




    


    


    9. 



















Copyright 

© 2004 [PonyPointCandles]. 

All rights 

reserved.




Revised:

03/03/12
















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