Chocolate Dip Company
Please allow 10 business days to make. During the Holidays 10-14 business days. No rush orders please.
All are Handmade to order and individually wrapped. Please print and fax completed form to (808)230-2202.
**Date your cookies are needed:________________________. (required)
| Name: | Billing Address | Shipping Address or pick up | Phone Numbers |
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FOR ALL Fortune Cookies - Please Circle all boxes that apply.
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Amount of cookies | Cookie #1 with candy decoration | Cookie #2 without candy decoration | Generic messages
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Custom messages | Ink Color |
| Regular Size: | Dark Chocolate | Dark Chocolate | ||||
| Giant Size: | White Chocolate | White Chocolate | ||||
| Candy decoration | Assorted flowers | Pineapple Creme | ||||
| please circle one only | Assorted Hearts | Coconut Creme | ||||
| Bead Sprinkles | Orange Creme | |||||
| Confetti Sprinkles | Strawberry Creme | |||||
| Other - |
FORTUNE COOKIES WITH CUSTOM MESSAGES
All Messages - 120 characters including spaces for regular size
500 characters including spaces for giant size
One sided - all the same message $10.00 flat fee
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Clip Art Number |
Message:
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One sided - multiple messages $15.00 flat fee
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Clip Art Numbers |
#1
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| #2
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| #3
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| #4
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Two Sided - all the same message $20.00 flat fee
| Clip Art Number | Front:
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| Clip Art Number | Back:
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Two Sided - multiple messages $25.00 flat fee
| Clip Art Number | #1 Front
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| Back
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| Clip Art Number | #2 Front
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| Back
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| Clip Art Number | #3 Front
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| Back
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| Clip Art Number | #4 Front
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| Back
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Payment Accepted: Visa, Mastercard, AMEX, Discover (Circle one)
| Name on card: | Card Number: |
| Billing Address: | |
| Expiration Date: | |
| Shipping Address: | CV code: Last 3-numbers near your signature: |
| AMEX - Last 4 numbers near on front of your card: |
Mahalo for your order! We appreciate your business! Fax to: Busy Bees (808) 230-2202 or email completed form to busybeesent@aol.com
**If for any reason your order cannot be completed as requested, we will alert you via email asap.
Your email address is: __________________________________.