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WEDDING/ANNIVERSARY FORM

HE&SHE   HEREWEARE   HERETHEYARE
 wrapper (full size) Qty.
Prices
Add photo 
Please send wrapped candy bars. I understand there is an additional charge.

mini's Qty.
(fits Hershey assorted miniatures)

Bride
Groom
Day, Date & Time of Wedding
Where
Maid Matronof Honor
Best Man
Parents (optional, no extra charge):

Other information (optional, no extra charge):

Master Card Visa Discover Amex
Number-- -
ExpiresName as it appears on card
Phone in Card number if you prefer (909) 685-6397

Ship To:

Your wrappers may require 1 week or more to produce, call for rush orders.

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

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

Additional comments:

Where did you hear about us? or How did you find us?

THANK YOU FOR YOUR ORDER!