Fill Out form On Line to Order or Print to Your Printer to Phone or Fax in Later.
BAR/BAT MITZVAH ORDER
HERESHEIS HEREHEIS Please enter quantity you are ordering (50 minimum) Add a Full Color or B&W Picture Prices
Ms.Goodgirl Mr.Goodguy Lil'Honey Please enter quantity you are ordering (25 minimum) Add a Full Color or B&W Picture
Name (as you want it to appear on front) Age Day and Date of Event Time of Event AM PM(Please choose one) Where Reception Parents' Names Siblings Grandparents Other info
Regular size WRAPPERS HERESHEIS ............... fits 1.55 oz. HERSHEY® Milk Chocolate candy bar HEREHEIS ............... fits 1.45 oz. HERSHEY® with Almonds candy bar Check this box if you want your HEREHEIS wrappers to fit the Milk Choc. bar Ms.Goodgirl and Mr.Goodboy wrappers are designed to fit 1.75 oz. Mr.Goodbar® candy bars. Lil'Honey wrappers fit 1.7 oz. Bit-O-Honey® candy bar
MINIATURE WRAPPERS ALSO AVAILABLE to fit Hershey® assorted miniatures Please enter quantity you are ordering
Yellow Highlight area is for Credit Card Billing Info: Please be complete and accurate on all sections of the form. Thank You!
Master Card Visa Discover Amex Number--- Expires Name as it appears on card and approval to charge card for this order V-Code (click here to find it) Credit Card Billing Address No. & Street City, State Zip Phone in Card number if you prefer Toll Free (877) 685-6397
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CHOOSE ONE Priority Mail FED X Choose this box for FedEx to leave without signature Choose this box for Saturday Delivery Prices Phone Number (home) Phone Number (work) E Mail address
Additional comments:
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