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:
Fax:

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 an existing mold if available (dog, horse, car, construction, etc.)

Would like chocolate bar with company name/logo molded in chocolate

Size:
small (1" - 3")
medium (4" - 9")
large (10+ ")

Quantity:

Minimum quantity of 50.

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

Privacy Statement: We ensure your privacy. We will not sell or rent your name or any information you provide to us.

 

 

 

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