Form for Special Requests
Please fill out the form below, and click the SUBMIT button at the bottom of the screen to send us your request.

Your Name: *
Phone number or e-mail address where we should reply with a price quote: *
Enter your special requests. Make sure to provide all relevant information that you would like to customize. For example: different nuts, different chocolate, extra nuts and/or chocolate, different shipping method, different packaging, quantities for bulk orders, etc.:*

(Fields marked with * are required)

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