Valentine Candy Gram Order Form
First Name of Valentine: _______________________ Last
Name:__________________________
Mailing Address:
_________________________________________________________________
City: ____________________________________ State: ___________ Zip:
_____________
Choice of Wrapper for Candy Gram: #_____________
Message you would like printed on Candy Gram wrapper:
(Front)______________________________________________________________________________
(Back)______________________________________________________________________________
Your phone #
and e-mail address in the event of a question.
__________________________________ (REQUIRED)
Method of
Payment: Check ______ Money Order ______ Cash (In Person) ______
Billing
Address: _________________________________________________________________
City/Town:_________________________________ State: __________ Zip Code: _______
How did you hear about the Valentine Candy Gram?" ___________________________________________________
Please send this order form and $5.25
payment made payable to “Sweet Expressions”:
~ C/O Sweet Expressions ~ 40 Woody
Crest Drive ~
Please contact me with any questions at