You may print this form and fax to (413) 683-1525 or submit the form online. Also, order may be taken over the phone.
Store Name:
Customer Name:
Customer's Street Address (if proof is to be sent)
City
State, Zip
Customer's email address: (proof may be emailed)
Home Phone* (in case there are any questions)
Alternate Phone Number
Occasion New Baby Wedding Business Other
Item Number
Quantity
Type Wrapper & Candy Wrapper Only
Need By Date
Enter all pertinent information to be included on the wrapper. Any changes or specific requests should be added here. PLEASE DOUBLE & TRIPLE CHECK TO AVOID ERRORS!!
