Online Info Contact Sheet

General Contact Information Sheet

- Please take a few moments to fill in as much information as possible. We will do our very best at pricing and placing your order in a timely fashion!

- This is a preliminary form that helps us serve you better & assist in placing your order! This does not mean you are placing an order.

- If more than one item of interest, (i.e: favors & bridal party centerpiece) please feel free to fill out form twice omitting repetitive info except for items wanted or list items on line #5.

- feel free to email us anytime! idochocolate@comcast.net or call in your order! 561.379.9271

Name:
Address:
Phone:
Email:
Name of favor, gift basket,
centerpiece, etc.:

Chocolate type for order:
(milk, white, dark, name color/s)

Milk Chocolate
White Chocolate
Dark Chocolate
Your favorite chocolate !
(choose milk, white or dark)
Milk Chocolate
White Chocolate
Dark Chocolate
Event name or type:
Event Date:
Event Location:

Quantity of item(s):
Approx. is fine

Message card:
(style and message opt'l until
later in order process)
Accessories: (rings, jeweled trim, etc.)
Ribbon (style, color)
Bill To:

Delivery to or Ship to address:
(delivery: name local location & address)

Custom Requests:
Any comments or questions you may have concerning your order or item of interest :
 
   
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