Chase Candy Mail Order Form
Ship to:                         Please Print Clearly
Name_______________________
Address_____________________
City________________________
State________  Zip____________
Shipping included in all prices
Minimum Order $10.00
Continental US Only
Orders shipped FedEx Ground

Summer pricing includes insulated packaging.
Quantity (1) Item Description Unit Cost (2) Total Cost (3)
  Cherry Mash (24 - 2.05 oz. Bars) 39.00  
    Bite Size Mini Mash (4 - 12 oz. bags) 28.00  
  4 Pack - Coconut Bon Bons - 12 oz. packs 40.00   
  4 Pack - Vanilla Haystacks - 12 oz. packs 40.00  
  4 Pack - Chocolate Haystacks - 12 oz. packs 40.00  
  4 Pack - Assorted Haystacks - 12 oz. packs 40.00  
  6 Pack - Peanut Brittle - 12 oz. packs 36.00  
  6 Pack - Peco Flake - 14 oz. packs 36.00  
  6 Pack - Peanut Squares - 14 oz. packs 36.00  
 
6 Pack - Peanut Sampler
(2 each of above 3 peanut candies)
 36.00  
  6 Pack - Peanut Clusters 12 oz. Packs 36.00  
   Coffee Mug (Large Grip Handle) 11.00   
  Cherry Mash Cap 16.00  
   Cherry Mash T-Shirt 16.00   
  Circle Desired Size  (Small, medium, large, X-large, XX-large)

S, M, L , XL , XXL

 Size  
Make check payable to: "Chase Candy Company" TOTAL (4)  
How to order:
1. Clearly print your shipping information.
2. Mark the quantity of each item. (1)
3. Total the costs as shown. (1) X (2) = (3)
4. Total cost. (4)
Mail to:
Chase Candy Company
PO BOX 698
St Joseph, MO 64502
If you do not want to pay the extra summer charge, and are willing to risk your candy melting,
give us a call at 800-786-1625

Thank You for Your Order!