Order Form - Baby
Please print out the order form below and mail with payment to: 

                                    It's A Wrap
                                    823 Deer Cliff Court
                                    Fort Wayne, IN  46804

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO DIANNE SNIDER (We are not accepting credit card orders at this time). All orders will be approved by the customer via e-mail or mail prior to production.

Confirmation of receipt of your order and payment will be sent to you via e-mail if you provide your address.  Upon customer approval of wrapper, your order will be shipped via priority mail within seven days.  A shipping confirmation notice will be sent to you via e-mail when your order is shipped.
Ordered By: _________________________________________________________
First Name Last Name
Address 1: __________________________________________________________
Address 2: __________________________________________________________
_____________________________________________________________________
City State Zip Code
_____________________________________________________________________
Daytime Phone Number Evening Phone Number
_____________________________________________________________________
E-Mail Address
Fax Number
_____________________________________________________________________
Event Date
Date Needed By
Ship To: _____________________________________________________________
First Name Last Name
Address 1: ___________________________________________________________
Address 2: ___________________________________________________________
_____________________________________________________________________
City State Zip Code
_____________________________________________________________________
Daytime Phone Number Evening Phone Number
Baby's First Name Baby's Middle Name Baby's Last Name
Date Born Time of Birth Weight Length
Eye Color
Hair Color Doctor
Hospital City & State
Mother's Name
Father's Name
Message
(If applicable)
PRICES

1.55 oz. Bar With Wrapper     -- $1.00 each
1.55 oz. Wrapper Only            -- $.60 each
Miniature Bar With Wrapper  -- $.30 each
Miniature Wrapper Only         -- $.20 each
7 oz. Bar With Wrapper          -- $2.50 each
7 oz. Wrapper Only                 -- $1.25 each
INSURANCE COVERAGE (Optional)

$.01-$50.00          --  $1.30
$50.01-$100.00    --  $2.20
$100.01-$200.00  --  $3.20
$200.01-$300.00  --  $4.20
$300.01 -$400.00 --  $5.20
SHIPPING CHARGES

1.55 oz. Candy Bars With Wrappers
0-6         $4.35           52-61     $14.55
7-16       $6.25           62-71     $16.25
17-25     $9.05           72-81     $18.00
26-31     $10.85         82-91     $19.70
32-41     $12.65         92-101   $21.40
42-51     $12.80         102+      Call for shipping charges

Miniature Bars With Wrappers
1-40          $4.35
41-90        $6.25
91-140      $9.05
141-235    $10.85
236+         Call for shipping charges

Large 7 oz. Bars With Wrappers
1        $4.35
2-3     $6.25
4-6     $9.05
7-9     $10.85
10+    Call for shipping charges

Wrappers Only:  Shipping charges are $4.35
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