Candy Bar Order Form
(please print form and mail)
DATE: ________________
ORDERED BY: SHIP TO: (if different)
Name
_________________________ _________________________
Address _________________________
_________________________
Address 2 _________________________
_________________________
City, State, Zip _________________________
_________________________
Day Phone _________________________
_________________________
Evening Phone _________________________
_________________________
E-Mail Address _________________________
| ORDER: | ||||||||
| ____ | Custom Candy Bars | $1.35 | x | _____ | each | = | $________ | (Minimum of 12) |
| ____ | Generic Candy Bars | 1.25 | x | _____ | each | = | $________ | (No minimum) |
| ____ | Wrappers Only | .85 | x | _____ | each | = | $________ | (Custom min. 12) |
| ____ | Photo | .50 | per order | = | $________ | |||
| ____ | Rush Service (3 business days) | 5.00 | = | $________ | ||||
| DELIVERY: | ||||||||
| ____ | Customer will pick up | No Charge | = | $________ | ||||
| ____ | Wrappers Only | No Charge | = | $________ | ||||
| ____ | We Deliver* | 5.00 | = | $________ | ||||
|
Subtotal |
$________ | |||||||
| New York State Residents add 7% Sales Tax | $________ | |||||||
|
ORDER TOTAL |
$________ | |||||||
PAYMENT
METHOD:
_____ Cash _____ Check**
_____ Credit Card*** _____ Money Order
* Available in the
Liverpool/Syracuse, NY area. Subject to available resources.
** Orders may not
be shipped until check has cleared.
*** Please go to website and click on the Credit Card link.
ORDER LEAD TIME:
Please allow
5-7 business days for completion of
your order.
MAIL ORDERS / MAKE CHECKS PAYABLE TO:
Kimber Gadaleta Phone (315)
622-4741
114 Riverglen Road Fax (315)
622-2874
Liverpool, NY 13090 E-Mail:
[email protected]
PICTURES:
_____ Enclosed (all photos will be returned)
Number of pictures enclosed _____
(please number back of pictures)
_____ Will be e-mailed (send to
[email protected])
Number of pictures _____ (please number
pictures)
| FRONT OF WRAPPER INFORMATION: | |
| Sample Number: | _______ |
| Custom Wording: | _________________________________________________________ |
| _________________________________________________________ | |
| _________________________________________________________ | |
| _________________________________________________________ | |
| BACK OF WRAPPER INFORMATION: | |
| Sample Number: | _______ |
| Custom Wording: | _________________________________________________________ |
| _________________________________________________________ | |
| _________________________________________________________ | |
| _________________________________________________________ | |
FONT COLOR: _________________ (only if different from sample)
FONT: (If you would like to use a font that is not listed, call us – we probably have it!)
____ Arial abcdefghijklmnopqrstuvwxyz 1234567890
ABCDEFGHIJKLMNOPQRSTUVWXYZ
____
Bradley Hand abcdefghijklmnopqrstuvwxyz 1234567890
ABCDEFGHIJKLMNOPQRSTUVWXYZ
___
Freehand 591 abcdefghijklmnopqrstuvwxyz 1234567890
ABCDEFGHIJKLMNOPQRSTUVWXYZ
____
Georgia
abcdefghijklmnopqrstuvwxyz 1234567890
ABCDEFGHIJKLMNOPQRSTUVWXYZ
____
Georgia
Italic abcdefghijklmnopqrstuvwxyz 1234567890
ABCDEFGHIJKLMNOPQRSTUVWXYZ
____
Kidprint abcdefghijklmnopqrstuvwxyz 1234567890
ABCDEFGHIJKLMNOPQRSTUVWXYZ
| ADDITIONAL NOTES/INSTRUCTIONS: |
| ___________________________________________________________________________ |
| ___________________________________________________________________________ |
| ___________________________________________________________________________ |
| ___________________________________________________________________________
|
How did you hear about us?
___ Catalog displayed in store. Which store? _________
___ Link from another website. Which website?
___ Internet surfing
___ Craft Show. Which show? __________
___ Other ____________________________