Name
Address
Telephone Number
Email Address
Celebration Date
Have you ordered a celebration cake with us?	Yes No
Item	Chocolate	Price Per Item	Quantity Required	Colour Ribbon	Total
	Ref No. A - White Chocolate Flowers
	Please select White Chocolate	£0.45 + VAT		Please select Red Gold Silver Yellow Lilac Apricot Pale Blue Pale Pink Bright Pink	£
	Please select			N/A	£
	Ref No. C - Smiley Face Lollies
	Please select White Chocolate Milk Chocolate	£0.45 + VAT		Please select Red Gold Silver Yellow Lilac Apricot Pale Blue Pale Pink Bright Pink	£
	Ref No. D - Bride and Groom Chocolate in Box
	Please select White Chocolate Milk Chocolate	£1.45 + VAT		N/A	£
	Ref No. E - Bride and Groom Chocolate in Clear Bag
	Please select White Chocolate Milk Chocolate	£0.60 + VAT		Please select Red Gold Silver Yellow Lilac Apricot Pale Blue Pale Pink Bright Pink	£
	Ref No. F - Two Chocolate Hearts in a Clear Bag
	Please select Milk Chocolate	£0.45 + VAT		Please select Foil Red Foil Pink Foil Silver	£
	Ref No. G - Two Pink or Blue Babies Bottle Chocolates in a Box
	Please select Pink Chocolate Blue Chocolate	£1.00 + VAT		N/A	£
	Ref No. H - Heart Shaped Lollipops
	Please select White Chocolate Milk Chocolate	£0.45 + VAT		Please select Red Gold Silver Yellow Lilac Apricot Pale Blue Pale Pink Bright Pink	£
	Ref No. J - Two Teddies in a Clear Bag
	Please select White Chocolate Milk Chocolate	£0.45 + VAT		Please select Red Gold Silver Yellow Lilac Apricot Pale Blue Pale Pink Bright Pink	£
	Please select White Chocolate Milk Chocolate			Please select Pale Blue Box Pale Pink Box	£
	Please select White Chocolate Milk Chocolate			Please select Pale Pink Box Pale Blue Box	£
	Please select Milk, White and Dark Chocolate			N/A	£
	Ref No. N - Small Box Containing Three Mini Bars of Chocolate
	Please select Milk Chocolate White Chocolate Jelly Beans Smarties	£0.99 + VAT		N/A	£
	Ref No. P - Organza bags with silver star or cream heart filled with 5 silver dragees, 3 chocolate bars or 5 milk chocolate hearts
	Please select 5 silver dragees 3 chocolate bars 5 milk chocolate hearts	£1.95 + VAT		Please select Foil Red Foil Pink Foil Silver Foil Gold Foil Lilac N/A Please select Gold star decoration Silver star decoration Cream heart decoration Silver heart decoration Gold heart decoration No decoration Please select Burgundy Bag Purple Bag Red Bag Gold Bag Green Bag Pale Blue Bag Pale Pink Bag Silver Bag White Bag	£
	Ref No. Q - Men's top hats filled with 5 silver dragees or 5 chocolate hearts
	Please select 5 silver dragees 5 milk chocolate hearts	£1.95 + VAT		Please select Grey Hat Black Hat Blue Hat Purple Hat Cream Hat Lilac Hat Please select Foil Red Foil Pink Foil Silver Foil Gold Foil Lilac N/A	£
	Ref No. R - Men's tuxedo boxes filled with 5 silver dragees, 3 chocolate bars or 5 milk chocolate hearts
	Please select 5 silver dragees 5 milk chocolate hearts 3 milk chocolate bars	£0.99 + VAT		Please select Black tuxedo with black tie Gold tuxedo with gold tie Grey tuxedo with gold tie Grey tuxedo with red tie Blue tuxedo with blue tie Please select Foil Red Foil Pink Foil Silver Foil Gold Foil Lilac N/A	£
	Ref No. S - Chocolate bride and groom lolly
	Please select White Chocolate Milk Chocolate	£0.50 + VAT		Please select Red Gold Silver Yellow Lilac Apricot Pale Blue Pale Pink Bright Pink	£
	Ref No. T - Bar of white or milk solid Belgian chocolate
	Please select White Chocolate Milk Chocolate	£1.25 + VAT		N/A	£
	Ref No. V - Chocolate Xmas Tree
	Please select White Chocolate Milk Chocolate Dark Chocolate	£4.50 + VAT		N/A	£
	Ref No. W - Chocolate Santa Scene
	Please select White Chocolate Milk Chocolate Dark Chocolate	£3.50 + VAT		N/A	£
Once you have submitted your order, we will Email you back with confirmation that we have received it and are able to complete the order. If we are sending your favours through the post, we will telephone you to arrange payment prior to despatch, by cheque, credit or debit card.