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New Wholesale Customer Form

Contact us and receive 10% off your first order!

First Name *

Last Name *

Email Address *

Phone *



Fax Number

How did you hear about us?

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Mailing Address

Madelaine Chocolate Company
9603 Beach Channel Drive
Rockaway Beach, NY 11693-1398

Tel: 718-945-1500
Toll-free: 800-322-1505
Fax: 718-318-4607

General inquiry:
Quality questions:

All of Madelaine’s products are Certified Kosher by the Orthodox Union (OU) and Made in America
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