The Chocolate Shop
Contact / Request Form

Please use the form below to contact us, make a request, or receive a custom quote. To use form, complete the appropriate information and press the "Submit Request" button below.

Your Info

Please fill in your contact information. *Required items
*Name:
 Company:
   
Address:

*Email:
*Phone:  (area)   number:
Fax:  (area)   number:


Subject

Please tell us the type of information you are requesting:
Would like quote on Custom Molded Chocolate Piece (see below)
Would like quote on Custom Tin or Boxed Chocolates (see below)
Information on other Corporate Gifts
Information on Fund Raising Programs
Question about shipping
Question about an existing order
Other


Tins & Boxed Chocolate
Quote Information

Please check or answer all that apply:
Chocolates In Tin
Chocolates in Box
Size:
Quantity:

Minimum quantity of 50.
Company Name On Box or Tin
Additional Info On Box or Tin

Custom Molded
Quote Information

Please check or answer all that apply:
Would like our product or item replicated in chocolate
Would like existing mold if available (i.e.: dog, horse, car, construction, etc.)
Would like chocolate bar with company name/logo molded in chocolate
Size:
small (1 - 3 inches)
medium (4 - 9 inches)
large (10+ inches)
Quantity:

Minimum quantity of 50.


Comments/Request
Please type your comments, requests or further description below:

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