2 WAYS TO PAY
Paypal - we accept Mastercard, Visa, American Express, Discover and e-check.
Cash - Deposit must be made prior to start of order.
Phone Number: 480-214-3277 11:00am - 7:00pm PST
To place an order online copy and paste the order form and send via e-mail to: nyazchocolates@yahoo.com or TRY OUR NEW FEATURE - CLICK ON THE PAYPAL LOGO - CLICK SEND MONEY AND ENTER YOUR ORDER IN THE MESSAGE FIELD OR CALL/E-MAIL AND WE WILL SEND YOU A CUSTOM INVOICE.
* Please include your phone number. *
You will receive a confirmation e-mail with your invoice that will require payment in full for online purchases.
You may also e-mail your order and request a PayPal invoice just send your e-mail address for your Paypal account so that we can send an invoice.
Ship up to 40 lollipops for $12.50 or less anywhere in the U.S.
Order Form
Order Date:_____________ Date Needed:______________ Name:_____________________________________________
Billing Address:_____________________________________
City/State/Zip:______________________________________
Shipping Address:___________________________________
City/State/Zip:______________________________________
Daytime Phone #:___________________________________
Evening Phone#:____________________________________
20 piece minimum.
Photo inserts are an additional $5.00 per order.
Please send at least a 3"x 5" sharp photo or e-mail. Colors may vary due to printing processes.
Circle One: Chocolate Bar (includes foil, candy and wrapper)* Rolled Candy (Fruit, Spearmint or Peppermint & designs can be chosen from chocolate bar wrappers) 20-99 $1.75 each/100+ $1.50 each * Chocolate Cigars $1.50 each * Chocolate Mini-Bar $.50 each * Lollipops $1.25 & up.
PERSONALIZED FAVOR TAGS ARE AVAILABLE FOR AN ADDITIONAL $.20 EACH.
Fill out ony what is to appear on wrapper
Name:______________________________________________
Date:_______________________________________________
Occasion:___________________________________________
Time:____________AM/PM Length:______________inches
Weight:__________________lbs. __________________oz.
Parents:_____________________________________________
Grandparents:________________________________________
____________________________________________________
Godparents:__________________________________________ ____________________________________________________
Brothers/Sisters:______________________________________ ____________________________________________________
Personalized Text:_____________________________________
____________________________________________________
1) Wrapper Front Style:________________________________
Wrapper Back Style:________________________________
2) Wrapper Front Style:________________________________
Wrapper Back Style:________________________________
3) Lollipop:__________________________________________
Price Each Quantity Total Cost
1)__________ ________ __________
2)__________ ________ __________
3)__________ ________ __________
Add $5.00 for Photo Insertion $__________
Other Items
__________ ________ $ __________
__________ ________ $ __________
Shipping & Handling $__________
Tax 8.625% $__________
Order Total $__________
Payment Type (Circle One)
Cash or Paypal - Amex / Discover / Mastercard / Visa / e-check
To Order Gourmet Chocolates:
Step 1 - Choose Item (ex. Nut Clusters, Pretzels etc.)
Step 2 - Choose Type Of Chocolate (Milk, White Or Dark)
Step 3 - Choose Weight In Pounds (1 lb., 2 lb. etc.)
