Signature Sweet Adeline Chocolates
Prices:
$2.50 Per Quartet -(4 in a package: 4 Dark, 4 Milk, or a Combo: 2 of each)
$.75 per Solo (1 in a package)
Each Quartet and Solo is packaged in a beautiful organza drawstring bag.
Number Ordered
Dark Chocolate "Quartet" $2.50 ea.
Total $
Number Ordered
Milk Chocolate "Quartet" $2.50 ea.
Total $
Number Ordered
Combo "Quartet" 2 Dark/2 Milk $2.50 ea.
Total $
Number Ordered
Dark Chocolate "Solo" $.75 Ea.
Total $
Number Ordered
Milk Chocolate "Solo" $.75 Ea.
Total $
*
TOTAL PACKAGES ORDERED
*
ORDER TOTAL $
Shipping TBD
SPECIAL INSTRUCTIONS:
CONTACT/DELIVERY INFORMATION
*
Contact Name
*
Phone
*
Shipping Address 1
Shipping Address 2
*
City, State, Zip
*
Email Address
*
Chorus
If the Shipping Address is the same as the Billing Address below, you may leave these fields blank.
PAYMENT INFORMATION
Type Of Payment
I am paying by Check
++Shipping amount will be determined by the US Postal Service. We will contact you with the Grand Total for your order once it is shipped. Please mail a check for the Grand Total to:
Mail Check to:
Greater Richmond Chorus
8811 Rockdale Road
Richmond VA 23236
Type of Payment
I am paying by Credit Card
*
Name on Card
*
Credit Card Type
Visa
MasterCard
American Express
Discover
*
Credit Card Number
*
Expiration Date (mm/yy)
*
Security Code
*
Billing Address Line 1
Billing Address Line 2
*
City, State, Zip
*
Home Phone
*
Email
++ Shipping amount will be determined by the US Postal Service and will be added to your total before your Credit Card is charged.
*
Indicates Response Required
Report Abuse