Distributor Company: {name-1} Contact Name: {name-2} Email: {email-1} Phone: {phone-4}
PO#: {text-9} Order Date {date-1} Req Del’y Date: {date-2}
Organization Name:  {text-1} Contact Name:  {text-2} Phone: {phone-3}
Delivery Location Type: {radio-3} Shipping Address: {address-1-street_address}, {address-1-address_line}
{address-1-city}, {address-1-state} {address-1-zip}

$1 Chocolate Options: Standard Packs:

$-240/Case Variety Pack Bars {number-1} $-240/Case Funtastic Collection {number-32}

Straight Packs – $1 Variety Pack Bars

Milk Chocolate SP {number-13} Almond SP {number-14} Rice Crisp SP {number-16} Caramel SP {number-15} Dark Chocolate SP {number-17}

Custom Mixed Packs – $1 Variety Pack Bars  |  Qty: {number-26} 

Milk Chocolate {number-27} Almond {number-28} Rice Crisp {number-29} Caramel {number-30} Dark Chocolate {number-31}

Custom Mixed Packs – $1 Funtastic Collection |  Quanty: {number-70}  

Milk Chocolate {number-71} Almond {number-72} Rice Crisp {number-73} Caramel {number-74} Dark Chocolate {number-75}

Candy 

$1-240/Case Variety Pack Gummy Bears {number-46} $1-240/Case Cables {number-48} $1-240/Case Super Sour Powers {number-47}

$2 Chocolate Options

$2-120/Case Variety Pack Bars- 2.4 oz {number-50} $2-120/Case Premium Collection Case {number-51}
$2-120/Case Chocolate Almonds Case {number-52} $2-120/Case Gigglejigs Case {number-53}

Pop*A*Licious Popcorn

$2-120/Case Sweet & Savory {number-54} $2-120/Case Sweet & Spicy {number-55}

Pop*A*Licious Popcorn Bulk Single Flavors

Chicago Mix {number-57} White Cheddar {number-56} Kettle {number-60} Jalepeno Cheddar {number-59} Caramel {number-58}

Pop*A*Licious Popcorn Custom Mixes  |  Quantity: {number-61}

Chicago Mix {number-62} White Cheddar {number-63} Kettle {number-65} Jalepeno Cheddar {number-66} Caramel {number-64}

Katydids  |  Quantity: {number-67}

Free Cases: 

Total Eligible Cases Ordered {calculation-10} Total Free Cases {calculation-12}

You have chosen the following free cases to be applied toward this order. Remember, Custom Mix Packs have a surcharge of $1.50 per master case and will be invoiced on free custom mixes.

$1 Variety {number-77} $1 Variety -SP {number-90} $1 Variety -CM {number-91} $1 Funtastic {number-78}
$1 Funtastic CM {number-88} $1 Gummy Bear {number-81} $1 Sour Power {number-82} $1 Cables {number-80}
$2 Variety {number-83} $2 Premium {number-86} $2 Choc Almonds {number-87}  

Notes:

{textarea-1}

No returns allowed. Initial: {text-6}
Payment Terms: Payment for product must be submitted to Signature Fundraising within 30 days of the sale start date. Interest will accrue at 1½% per month (18% annum) on any unpaid balance after 30 days of sale start date.  Initial:{text-7}
Authorized by: {text-8}   {signature-1}

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