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Puffin Truffles Order Form

Part 1 - Customer Information

Please complete each of the following fields:

Name:

Address:

City:   Province:

Postal Code:   Phone (with area code):

E-mail address:

Part 2 - Truffle Selection

Truffles are packaged and priced as follows:

Choose your Box Size     Number of Boxes     Choose your Flavours
Box of 4 - $ 5                                   Assorted or
Box of 9 - $10                                   Custom mix of ...
Box of 16 - $15                                             Orange
                                                  Cappuccino
                                                  Mint
                                                  Raspberry
                                                  Irish Cream
                                                  Extra Dark

Part 3 - Other Delights

Your other favourites are packaged and priced as follows:

Order your other Favourites     Number of Packages
Puffin Prints - Gourmet Chocolate Covered Pretzels - $2                        
Puffin Posts - Gourmet Chocolate Covered Black Licorice - $2                        
Puffin Pause - Gourmet Hot Chocolate Mix (serves 2) - $2                         
Puffin Paradise - Gourmet Martini Mix (makes 2) - $2                        

Part 4 - Delivery Information

Requested Delivery Date:
  
  

Special Instructions or Comments?

Thank you for your order. A confirmation e-mail will be sent to you once your order has been processed.