James Enterprises of Texas
you can type directly to this screen, then print and mail it

Todays Date Cust. Daytime Phone # Cust. Fax#

Customer Name Address

City State Zip Cust. Email

MC/ VISA/ DISCOVER/AMEX   NUMBER :
EXP DATE

Security code (located in the signature line last three numbers)

All information stays on your computer. We only get what you mail us
Customer Signature ___________________________________________

If Credit card billing address is different than shipping please fill out forms below

Address  City State Zip

# Lb's

FUDGE DESCRIPTION

PRICE @ $15 per Lb

Peanut Butter Chocolate Fudge

Marshmellow Fudge

Pecan Fudge

Regular Fudge

Coconut Fudge

Peppermint Candy Fudge

Mocca Chocolate Fudge

Dark Chocolate Fudge

Rocky Road Fudge

Dark Mocca Fudge

Walnut Chocolate Fudge

Shipped in Fix Rate Box
PLEASE ADD


Between 2-6 pounds of fudge:
Will cost $9.99
to send anywhere in the US.

Between 7-12 pounds:
Will cost $14.50
to send it anywhere in the US
SUBTOTAL  

<------ Shipping & Handling  

TOTAL  

  Make checks to:    Jimmy James
100 Lakeview Court
Joshua, TX 76058