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Fill Out form On Line to Order or Print to Your Printer to Phone or Fax in Later.

HERESHEIS wrappers      HEREHEIS wrappers
Please enter quantity you are ordering (50 minimum)
Add a Full Color or B&W Picture 
Prices

Ms.Goodgirl wrappers Mr.Goodboy wrappers Lil'Honey wrappers  Sweetheart wrappers
Please enter quantity you are ordering (25 minimum)
Add a Full Color or B&W Picture 
Prices
Please send wrapped candy bars. I understand there is an additional charge.

Baby's Name (as you want it to appear on front)
Weight Lb.Oz. Length
Day and Date of Birth
Time of Birth AM PM(Please choose one)
Horoscope "Born under the stars of" (optional, no charge) Click on it!

City and State Where Born
Delivering Doctor, Midwife, CNM, etc. (Please specify)

Hospital, Med. Center, etc. Where Born (please specify)
Parents' Names
Siblings - please specify brother(s) and/or sister(s)
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

Master Card Visa Discover Amex Number---
Expires
Name as it appears on card
Phone in Card number if you prefer Toll Free (877) 685-6397

Ship To:

Orders are printed EVERY DAY! Mon. thru Fri.
*guaranteed next day with Fed X.
*Orders received by 12 noon PST ship the same day. (FedX guarantee guidelines apply)

Or use Priority Mail by the US Postal Service, usually 2 to 4 days for delivery. (not guaranteed)

CHOOSE ONE   
Priority Mail       FED X
Choose this box for
FedEx to leave without signature
Choose this box for
Saturday Delivery
Prices

Orders placed on Friday by noon can be delivered Saturday with FedX.
Your order will arrive Monday if Saturday delivery is not checked.


Phone Number (home) Phone Number (work)
E Mail address

Is this a gift?  Check this box to have your credit card and sales receipt sent to you with a sample wrapper. 
Give us your mailing address below in the additional comments box.

Additional comments:

THANK YOU FOR YOUR ORDER!