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the chocolate barn
5055 historic route 7a
shaftsbury, vt 05262
phone: 802.375.6928
www.thechocolatebarn.com
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MAIL ORDER FORM
(M – Milk Chocolate D – Dark Chocolate W – White Chocolate)
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Chocolates
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Truffles
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Specialties
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M
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D
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W
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M
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D
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W
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M
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D
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W
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Almond Bark
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Amaretto
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Butter Crunch
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Cashew Bark
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Black Forest
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Cashew Turtles
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Break-up Chocolate
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Cappuccino
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Colossal PB Cups
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Butter Creams:
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Caramel
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Colossal Coconut Cluster
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Chocolate
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Champagne
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Ginger
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Coffee
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Cherry Cheesecake
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Haystacks
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Lemon
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Chocolate Mousse
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Honey Comb Chips
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Maple
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Coffee
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Hostess Mints
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Orange
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Crème Brulee
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Jordan Crackers
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Raspberry
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Crème de Mint
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Marzipan
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Strawberry
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Devilish Dark 72%
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Orange Peel
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Vanilla
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Figaro
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Peanut Butter Log
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Caramallow
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French Chocolate
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Pecan Turtles
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Caramels
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French Mint
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Peanut Butter Cups
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Caramels with sea salt
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Grand Marnier
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Fudge
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Coconut Cluster
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Irish Cream
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Dark Chocolate
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Cordial Cherry
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Kalua White Russian
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Dark Chocolate Walnut
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Graham Cracker
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Key Lime
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Peanut Butter
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Marshmallows
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Lemon
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Peanut Butter Cup
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Nonpareils
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Orange
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White Chocolate
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Nougatines
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Peanut Butter Meltaway
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White Chocolate Walnut
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Orange Jellies
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Raspberry
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Classic Assortments
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Peanut Clusters
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Raspberry Cheesecake
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Pounds Assorted (M,D, W)
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Peppermint Patties
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Rum
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Pounds Soft Centers (M,D,W)
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Pretzels
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Strawberry
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Pounds Nuts/Chews (M,D,W)
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Raisin Clusters
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Strawberry Cheesecake
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Pounds Truffles (M,D,W)
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Raspberry Jellies
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Swiss Mocha
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Pounds Specialties (M,D,W)
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Wintergreen Patties
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Tiramisu
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Triple Chocolate
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Pricing: Chocolates/Truffles/Specialties - $20/pound. Fudge - $15/pound.
Shipping: To be determined at time of shipping.
Gift Wrapping: $1.00 each pound.
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Ship to:
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Name:
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Address:
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City:
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State:
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Zip Code:
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Bill to:
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Name:
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Address:
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City:
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State:
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Zip Code:
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Telephone number:
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Payment Method (Check, Visa, MasterCard, Discover)
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Total no. lbs chocolates:
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x $20.00
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Card Number:
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Total no. lbs fudge:
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x $15.00
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Expiration Date:
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Total no. lbs truffles&specialties
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x $20.00
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Security Code:
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Subtotal
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Signature:
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Shipping
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TOTAL
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