Print this page and use it for your convenience when ordering:

Date:  _____________________

Name:  ___________________________________________

Phone: ___________________________________________

Email:  ___________________________________________

Date you would like to receive delivery:  _________________

******************************
                                            Price             Amount ordered           Total 

Thirty-five piece box               $55.00             ______________        __________

Twenty-piece box                  $32.00             ______________        __________

Four-piece box                      $  8.00             ______________        __________

Two-piece box                      $  4.25              ______________        __________

Toffee – 8 ounce                   $  8.50              ______________        __________

4-piece Irish Cream box         $  8.00              ______________        __________
 
            Subtotal                                                                           __________

            Shipping and Handling                                                       __________

            Total                                                                                __________

 *****************************

Ship to:  _____________________________________________________
 
              _____________________________________________________

              _____________________________________________________

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

******************************
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.

                   Love, Julie
******************************

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!