Gwen’s Chocolates Order Form

Gwen's Chocolate Online Order Form
Please enter the number required of any products that you would like to order in the appropriate box

* indicates required fields

Gift Box 1 - 172g:

Gift Box 2 - 260g:

Gift Box 3 - 348g:

Gift Box 4 - 564g:

Gift Box 5 - 664g:

Brazil nuts (55% dark) - 175g:

Brazil nuts (milk) - 175g:

Sand Rose (55% dark) - 175g:

Sand Rose (milk) - 175g:

Mendiant (55% dark) - 175g:

Mendiant (milk) - 175g:

Ginger Stick (55% dark) - 175g:

Mixed Fruit (55% dark) - 175g:

White Truffles - 175g:

Whiskey Truffles - 175g:

Bag of Fruit Jellies - 200g:

*Your Name:

*Address 1:

Address 2:

*Town:

County:

Post Code:

*Country:

*Telephone:

*Email:

Delivery name & address if different from above:

*When order is confirmed I will pay by:

Credit Card
Cheque

After filling the details click on the SUBMIT button.

© Gwens Chocolates 2009