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Phone: (800) 945-5522 Fax: (973) 728-7043
|||||||| ENTER PERTINENT INFORMATION ONLY |||| BE SURE ALL INFORMATION IS CORRECT BEFORE SUBMITTING ORDER|||| Space for personalizing occasions other than BABY and WEDDING at the bottom of this form. [Use text box below to enter your details. We will contact you to discuss!] Please fill out your Order Number and Name and whatever information is pertinent to your order and we will contact you, or please call us at (800) 945-5522 to discuss and finalize order.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Your card will not be charged until you have been contacted (either by phone or email)by a representative to finalize your order! * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * If you entered your credit card in the previous page, it was entered securely.
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ORDER NUMBER: (Hit the BACK Button if you forgot to note your order number) Do not hit back after you begin to enter details
* * * * * Open a new window if you need other information from the webpage * * * * * SOLD TO: Name: Day Phone Number: Evening Phone Number: E-mail: ________________________________________________________________________________ ORDER INFORMATION Quantity: Design #: Promotion Code#: Wrapped with chocolate: Wrappers only: ********** Foil Choice (for Wrappers Only Orders): Choose Foil Color SILVER GOLD RED PINK DARK BLUE MED. BLUE GREEN BURGUNDY BLACK ********** (Silver Foil will be sent without notice if we are out of stock on the color choice you have made) Paper Choice: Choose Paper Type Glossy White Glossy / Metallic Silver Glossy / Metallic Gold Matte Pink (Pastel) Matte Blue (Pastel) Matte Green(Pastel) Matte Teal Matte Lavender/Orchid (Pastel) Matte Peach (Pastel) Matte Soft Yellow (Pastel) Matte Dark Yellow Matte Peach (Pastel) Matte Ivory (Pastel) Matte Goldenrod
Item type: 1.55 oz. MILK CHOCOLATE Candy Bar - Silver Foil KOSHER PAREVE Dark Chocolate (add $0.50/bar) 2 week lead time - Silver Foil KOSHER PAREVE White Chocolate (add $0.50/bar) 2 week lead time - Silver Foil (HERSHEY's 1.55 oz. (add 35¢/bar)(Extra time required for wrapped bars) Wrappers Only for 1.50 oz. Nestle Crunch (not available in wrapped bars) Wrappers Only for 1.55 oz. HERSHEY's Milk Chocolate HERSHEY KISS STICKERS - Stickers Only HERSHEY KISS STICKERS - w/ Candy (min. 200 ($0.20ea) 1" Round Stickers (for Reeses's Mini) - Stickers Only Bubble Bottle Wrappers Only Bubble Bottle Labels Only (Water resistant) Water Bottle Labels Only (Water resistant) Wine Labels (Small) Wine Labels (Large) 'Large Hershey Bars' (please call the office after placing this order 1.55 oz. MILK CHOCOLATE Candy Bar - Silver Foil Occasion: Please Choose Occasion New Baby Wedding Birthday Bridal Shower Baby Shower Bar Mitzvah Bat Mitzvah Baptism First Holy Communion Confirmation Anniversary Other Other, please specify: Date of Event: Date Needed by: **PLEASE NOTE: (if Need by date is less than 7 days, RUSH charges will apply.Also, shipping method may need to be via Next or 2nd Day depending on our processing schedule and your zone) I understand there will be rush fees. Please RUSH this order I have a photo or logo to be scanned ($5 scan fee): I will e-mail picture in .jpg or .gif format (E-mail picture to: info@personalizedbydesign.com. Please reference your NAME in Subject line) ________________________________________________________________________________ NEW BABY INFORMATION: Please check if Baby is NOT here yet, but you would like to start your order, so announcements can go out right away! ** Baby is not here yet--but is DUE around: BOY - GIRL - MULTIPLES (Check only One) Enter Additional Baby(s) information below after Design number and Graphic Choice Options. Baby’s First Name: Baby’s Middle Name: Baby’s Last Name: Date of Birth: Time of Birth: Weight at Birth: Length at Birth: Birth Place (City & State of Hospital): Home-Town (where baby will live): (City, State and Zip) Mfd. by: (Mother): and (Father): (Last Name) Please note if there is special consideration of the way parents name is listed on bar (Standard is Mfd. by MOTHER and FATHER LASTNAME) Mother’s Maiden Name: (printed as "A Division of the MaternalFamilyName/PaternalFamilyName) Siblings (ex: Brother, Taylor, Sister, Baily): Baby Design Style: Please Choose BOY Standard - NB1 Baby 'Name' (Red&Blue Design) - NB2 GIRL Standard - NB3 SweetTOT - NB4 Sports Baby - NB5 Jungle Animals - NB6 Heart 'Name' - NB7 Noah's Ark - NB8 (Similiar to Twin Design TW3) PurplePolkaDot - NB9 Baby Flowers - NB10 Baby Flowers 2 - NB11 Baby Face_Boy - NB12 (Choose Face Graphic Below) Baby Face_Girl - NB13(Choose Face Graphic Below) Poodle - NB14 TW3-TWINS/Multiples - Please call the office to give details TW4-Multiples--SweetPeas - Please call the office to give details Graphic Choice: (can pick 2)(Not available for SweetTOT, Baby 'Name' or Sports Baby styles) Stork Pink Stork Blue SittingBear-Pink SittingBear-Blue SittingBear-Red (No Honey) Bear-Pink Bow Bear-Blue Bow Elephant-Hearts Elephant-Baby Girl Elephant-Baby Boy Duck 1 Duck 2 Noah Red Wagon Butterfly Please USE THIS AREA if ordering for TWINS or Multiples. List birth information for additional Baby(s) here:
Bear w/ Open Arms Sitting Bear Rubber Ducky Noah’s Ark Baby Face BF1 Baby Face BF2 Baby Face BF3 Baby Face BF4 Baby Face BF5 Baby Face BF6 ________________________________________________________________________________ WEDDING INFORMATION: Bride: Groom: Wedding Date: Church Name: Reception Place: Maid of Honor: Matron of Honor: Best Man: Wedding Party: Wedding Design Style: Please Choose Love Bar Seating Bar without Stand Seating Bar WITH Stand (add $0.10) Standard Design (For seating bars, you will need to email list. If list is not submitted electronically, add $25 or $0.25 per bar (which ever is greater)
UNIQUE REQUESTS for WEDDING & NEW BABY on bars already set up: (may requre a $20.00 set up fee) Wrapper Front: Miscellaneous Info, Color or formatting requests, etc Wrapper Back: Miscellaneous Info, Color or formatting requests, etc
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* * * * * * FOR OCCASIONS OTHER than Weddings & New Baby * * * * * * Please USE THIS AREA to describe FRONT and BACK personalization Wrapper Front: Miscellaneous Info, Color or formatting requests, etc Wrapper Back: Miscellaneous Info, Color or formatting requests, etc
________________________________________________________________________________ For QUESTIONS or COMMENTS: How did you hear about us:
Please send final draft by e-mail for approval (after I have made payment arrangements), I understand this may delay order slightly SHIPPING delivery time is based on order completion day. Shipping Amount is based on Quantity and Zone. Please choose shipping method: Standard UPS Ground (2-7 days) Priority Mail (2-3) UPS 2nd Day (2 day) UPS Next Day (end of day) UPS Next Day (12:00 noon)
I will pay via: Entered in SECURE SHOPPING CART Credit Card via Fax Check--I understand there is 2 week clear time Money Order PayPal (pbdbooks@aol.com)
If you chose to FAX Credit Card information, [Click here for FAXABLE CREDIT CARD FORM] (Use the BACK button after printing form to return here) If you chose PayPal, please wait for our confirmation email with exact total before making payment.