PERSONAL INFORMATION:

Last Name:   First Name:
E-Mail Address:           
Verify E-Mail Address:
Street Address Line 1: 
Street Address Line 2: 
City:     State:              Zip Code:
Home Phone Number (xxx-xxx-xxxx):    Ext:
Cell Phone Number: (xxx-xxx-xxxx)   

PARTY INFORMATION:

Gift Certificate: No, I do not have an existing gift certificate Yes, I have an existing gift certificate I would like to use towards my purchase
Occasion / Party / Business Type:  - SELECT ONE - Anniversary Baby Shower Baptism / Christening Bat / Bar Mitzvah Birthday Chocolate Business Gift Certificates Christmas / Chanukah Celebration Coming Out Party Corporate Event Debutante / Cotillion Ball Easter / Passover Holiday Family Reunion Graduation Hotel or BandB Business Mothers / Fathers Day Pet Memorial / Birthday Retirement Party School Prom Wedding Other (please describe in the next field on the form)
If Party Type "Other", please describe:
Occasion / Celebration Date: Month: - SELECT MONTH - January February March April May June July August September October November December Day: - SELECT DAY - 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 2007 2008 2009
Quantity Required:        
Edible Photo Type:          - SELECT PHOTO TYPE - Black / White Photo Color Photo
Do You Want To Add A Personalized Message To Your Edible Photo: - SELECT MESSAGE OPTION - Yes No
Enter Message Desired (50 characters max including spaces if applicable):
Chocolate Flavor:            - SELECT CHOCOLATE FLAVOR - Butterscotch Chocolate Cherry Chocolate Dark Chocolate Lemon Chocolate Milk Chocolate Mint Chocolate Peanut Butter Chocolate White Chocolate (click here for help)
Sugar-Free Chocolate:     No Sugar-Free Milk Chocolate Sugar-Free Dark Chocolate (only available for Milk Chocolate & Dark Chocolate)
Chocolate Mold Type:      - SELECT CHOCOLATE MOLD - Announcement Mold ($10.00 each before applicable discounts) Antique Mold ($4.75 each before applicable discounts) Baby Bottle Mold ($3.00 each before applicable discounts) Bow Mold ($11.50 each before applicable discounts) Business Card Mold - small ($3.00 each before applicable discounts) Business Card Mold - medium ($3.75 each before applicable discounts) Business Card Mold - large ($4.25 each before applicable discounts) Champagne Bottle Mold ($5.95 each before applicable discounts) Cherub Mold ($12.00 each before applicable discounts) Clap Board Mold ($2.75 each before applicable discounts) Classic Mold ($4.75 each before applicable discounts) Cordial Mold ($3.50 each before applicable discounts) Desktop Mold ($5.95 each before applicable discounts) Doilie Mold ($4.25 each before applicable discounts) Elegant Mold ($10.50 each before applicable discounts) Heart Mold ($4.50 each before applicable discounts) Key Mold - small ($3.25 each before applicable discounts) Key Mold - large ($12.95 each before applicable discounts) Laptop Computer Mold ($3.75 each before applicable discounts) Nutcracker Mold ($5.25 each before applicable discounts) Oreo Cookie Mold ($2.75 each before applicable discounts) Ornament Mold ($4.95 each before applicable discounts) PDA Mold ($4.00 each before applicable discounts Petite Mold ($3.00 each before applicable discounts) Place Card Mold ($3.25 each before applicable discounts) Popsicle Mold ($3.50 each before applicable discounts) Portable Media Player Mold ($3.50 each before applicable discounts) Round Mold - small ($3.75 each before applicable discounts) Round Mold - large ($4.75 each before applicable discounts) Scripture Mold ($2.75 each before applicable discounts) Scroll Mold ($10.00 each before applicable discounts) Square Mold - small ($1.45 each before applicable discounts) Square Mold - medium ($1.75 each before applicable discounts) Sunflower Mold ($12.75 each before applicable discounts) Torah Pops Mold ($3.25 each before applicable discounts) Traditional Mold ($4.50 each before applicable discounts) Wreath Mold ($15.95 each before applicable discounts) (click here for help)
Favor Wrap:                      - SELECT FAVOR WRAP - Not Sure Clear Cellophane (standard - no additional charge) Designer Crochet Bag ($2.50 each before applicable discounts) Embroidered Bag ($2.75 each before applicable discounts) Exotic Pineapple Bag ($3.50 each before applicable discounts) Gift Box for Business Card - small mold only ($0.75 each before applicable discounts) Metallic Lamee Bag ($0.75 each before applicable discounts) Metallic Silk Heart Bag ($2.75 each before applicable discounts) Sheer Organza Bag - Small ($0.75 each before applicable discounts) Sheer Organza Bag - Medium ($1.00 each before applicable discounts) Sheer Organza Bags with Ornament - Small ($1.00 each before applicable discounts) Sheer Organza Bags with Ornament - Medium ($1.25 each before applicable discounts) Velvet Bag ($1.00 each before applicable discounts) (click here for help)
Decorative Ribbon Color: - SELECT RIBBON COLOR - Does Not Apply to My Favor Wrap Choice Not Sure Yet Red White Blue Black Yellow Pink Green Purple Orange Brown (applies to Clear Cellophane Wrap only)
How Would You Like Us To Contact You To Verify Requirements?: - SELECT PREFERRED CONTACT METHOD - No Preference Phone - Any of the Numbers Provided Daytime Phone Only Nighttime Phone Only Cell Phone Only E-Mail Only
Comments / Special Requests / Any Other Information You Wish To Share With Us:
     (max 500 characters including spaces)
    

SHIPPING INFORMATION (if different from Personal Information provided above):
    
Last Name: First Name:
Street Address Line 1: 
Street Address Line 2: 
City: State: Zip Code:
Home Phone Number (xxx-xxx-xxxx):    Ext:
Cell Phone Number: (xxx-xxx-xxxx)   

Message to Potential Customer:
 Thank you for requesting a "free quote" (no obligation to purchase) for your party needs to Chocolate Photo Favors, L.L.C. We will E-MAIL you shortly with a quote. In the meantime, this will serve as a record of the information you submitted.

If you encounter any problems submitting this request for a free quote,
please click on the link below to easily download a free quote form
and follow the instructions to submit your information.

Of course, you can always email or call us for assistance!

Thank You!

IMPORTANT: Your free quote will come from email address:
chocolatephotofavors.com
if your email system has a Spam Filter, please enter our email address
 into your address book so the message will be received.
If you are using your email address at work,
please be aware that many corporations do not allow delivery of email
that their filters determine are non business related.

click here to download a "Free Quote Form"