Personalization
for back of bar: (Your sentiments, serving size or %DV
descriptions, etc...)
Special
Instructions
Shipping Information
Ship
in styro-foam cooler with
ice pack
Please
check this box
Cost
$8.50, we are not responsible for melted candy, if you do not choose
the cooler and ice pack.
Rush
Order?
Check
here if you are placing a rush on your order. A fee of $30.00 will
be added to your invoice.
Our
normal processing time is 7-10 days for processing plus 1 week
shipping time.
Ship to address above
Please
check this box
Ship
to alternate
address
Name
(First and Last)
Street
Address
City
State
or Providence
Zip/Postal
Code
Telephone
Email
Address
Shipping
Method
Date
needed by
*Required,
or your order may not be received on time
Payment Information
Payment
Method
Account
Number
Expiration Date
Security Code Last
3 digits on the back of your card as indicated below. American
Express users will use the four digits on the front of their cards
as shown below.
Print
and fax or mail this form. We will contact you when the order
is received.
Order online 24 hours a day, 7 days a week, 365 days a year!