This is the information I will need, so you can print this page and use it for your own convenience when ordering:

Date:  _____________________

Name:  ___________________________________________

Phone: ___________________________________________

Email:  ___________________________________________

Date you would like to receive delivery:  _________________

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                                            Price             Amount ordered           Total 

Large box                             $55.00             ______________        __________

Medium box                          $32.00             ______________        __________

Purse boxes                five for $20.00             ______________        __________

Four-piece box                      $  8.00             ______________        __________

Toffee – 8 ounce                    $  8.50              ______________        __________

Caramels & Coins                 $15.00              _______________       __________

Holiday items                                                _______________       __________

       Subtotal                                                                                 __________
      
       Shipping and Handling                                                             __________

            Total                                                                                  __________

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Ship to:  _____________________________________________________
 
              _____________________________________________________

              _____________________________________________________

OR Pick-up:  I will call or email you to arrange a pick-up time and give you directions to my facility in Woodinville.

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If you would like to include a gift message please print exactly what you would like the card to say.  Remember to include a salutation, the recipients name(s), a short message, and your name.

Example:     Dearest Ed,

                   Enjoy the chocolates.

                   With warm regards,

                   "The Boys"
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To place your order, call 425.486.2270 OR email orders@wellingtonchocolates.com OR Fax this form to 425.485.8606.  I accept MasterCard and Visa.  Please feel free to call if you have any questions.  If I don’t answer, I am probably in chocolate production so leave a message and I will get back to you as soon as I can.  Thank you!