RYBA'S FUDGE - MAIL ORDER FORM 31181 Kendall Dr. Fraser MI. 48026  PHONE: 1-800-447-9227  Fax: 1-586-293-4850

Shipping - $6.95 per shipment per address Overnight Shipping - $25.00 per shipment per address Gift Wrapping is $1.00 per item Gift Card and Holiday Gift Card - Complimentary

Fudge Flavors

Chocolate Pecan - CHOC	Maple Pecan - MAP
Chocolate No-Nut - NN	Chocolate Peanut Butter - CPB
Vanilla Pecan - VAN	Peanut Butter - PB
	Macadamia Nut - MN

_________3 POUND GIFT BOX - $39.95 (Mix and Match flavors)
Includes 6 - ½ pound bars of fudge

Quantity	Flavor	Quantity	Flavor
1.____________	_______________________	4.____________	_______________________
2.____________	_______________________	5.____________	_______________________
3.____________	_______________________	6.____________	_______________________

_________1½ POUND GIFT BOX - $19.95 (Mix and Match flavors)
Includes 3 - ½ pound bars of fudge

Quantity	Flavor
1._____________	___________________________
2._____________	___________________________
3._____________	___________________________

_____SPECIAL ORDER FUDGE - $15.95 PER POUND
1½ pound minimum (1½ pounds equals 3 slices)

Quantity	Flavor	Quantity	Flavor
1._____________	_______________________	3._____________	_______________________
2._____________	_______________________	4._____________	_______________________

__________VICTOR'S GOURMET CARAMEL CORN - $8.95 (14OZ.Bucket)

Bill To:	Ship To:
Name_________________________	Name_________________________
Address______________________	Address______________________
_____________________________	_____________________________
City_________________________	City_________________________
State.Zip____________________	State.Zip____________________
Phone________________________	Phone________________________

Credit Card Information

___Visa ___Master Card ___Check or Money Order

 Card No.______________________________________ Exp._________________

Signature___________________________________________________

Total Merchandise Price	_____________________________________
Postage and Handling	_____________________________________
TOTAL AMOUNT	_____________________________________

Date Needed:________________________