JNC Fundraising Variety Pack Order Form

Name:
Title:
Organization:
Address:
Address2:
City:
State:
Zip Code:
Work Phone:
Home Phone:
Fax:
EMail:
Members:
No. Standard Pack:
No. School Pack:
No. Reese:
No. MM Plain:
No. MM Peanut:
No. B. Finger Crisp:
No. Snickers:
No. Sourjack:
No. Welchs:
No. Skittles:
No. Hershey Almond:
No. Amos Cho Chip:
Total No. Ordered:
Comments:

To order JNC Super Variety Packs, please complete the form below.

If you are interested in ordering Brochure Order Takers, The Ultimate Beverage Collection, Lollipops and Starlyn's Chocolates, please click here to complete the order form.

Name:

Title:

Organization:

Address:

Address line 2:

City:

State:

Zip Code:

Work Phone:

Home Phone:

Fax Number:

E-Mail:

Members:

How many members are in your organization?

Indicate the number of Standard and/or School Variety Packs below.
Qty.	Standard Variety Pack	Qty.	School Variety Pack
	12 Reese, 8 M&M's, 8 Snickers, 8 Welch's Fruit Snacks, 6 Hershey Almond, 4 M&M's Plain, 4 Butterfinger Crisp.		10 Reese, 8 Snickers, 8 M&M's Peanut, 6 Sour Jacks, 6 Welch's Fruit Snacks, 4 Skittles, 4 M&M's Plain, 4 Famous Amos Choc. Chip.

If you are ordering 100 Variety Pack carriers or more, you may custom pick the brands and varieties below totaling 50 per carrier.
Qty.		Qty.
	Reese		M&M's Plain
	M&M's Peanut		Butterfinger Crisp
	Snickers		Sour Jack's
	Welch's Fruit Snacks		Skittles
	Hershey Almond		Famous Amos Chocolate Chip

	Total Boxes/Packs Ordered

QUESTIONS/COMMENTS: