Riversweet Citrus Sales - Earth Candle Order Form

Candle Order Form

If you are coordinating your candles to arrive at the same time as your fruit order, please see to it that you arrange to have your candles arrive at least two days before your fruit. This will take into account that UPS deliveries take an extra day or two during the busy holiday season.

General Information:

Your Organization's Name:

School Name (if applicable):

Your Name:

Day Phone: Evening Phone:

e-mail address: Fax Number:

Requested Del. Date:

Information About Your Order:

This order is:

Our Original Order
A Change to our Original Order

Numbers Listed Below Represent:

New Totals
Just Changes to Our Original Order

With Respect to Sales Tax:

DO NOT Charge us Sale Tax
CHARGE US SALES TAX

Numbers Listed Below Are:

Our Final Numbers
Tentative Numbers

Your Order:

1. 405 Hot Apple Pie....................................

2. 410 Butter Cookies:.................................

3. 415 Cinnamon Apple..............................

4. 420 Juicy Peach.......................................

5. 425 Gardenia............................................

6. 430 Holiday Spices.................................

7. 435 Mulberry.............................................

8. 440 Rain Forest........................................

9. 445 Sugar Roasted Chestnuts.............

10. 450 Pomegranate..................................

11. 455 Pumpkin Spice Pie........................

12. 460 Vanilla Bean....................................

13. 465 Heaven............................................

14. 470 Honey Pear.....................................

15. 475 Lavendar Mist..................................

16. 480 Orange Spice Tea.........................

17. 485 Vanilla Raspberry..........................

18. 490 White Cotton...................................

DELIVERY LOCATION FOR CANDLES:

Deliver Candles To:

Delivery Address:

Address 1:

Address 2:

Address 3:

City: State: Zip Code:

Phone:

Name of Local Contact:

Special Instructions