TRUFFLE ORDER FORM

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Order Truffles

Name *

First

Last

Email *

Phone *

Truffle box size *

Please specify which box size and quantity you would like to order. Example: 6 pc Box - 2 25 pc Box - 1

Customize your Flavors

Please specify the flavors and quantities for your custom truffle box order. Example: Decadence - 3 Raspberry - 2

Do you want to include any truffles with nuts (walnuts, almonds, macadamia) in them? *

Recipient's Name *

First

Last

Recipient's Address

Street Address

Address Line 2

City

State

Zip Code

Desired Arrival Date to Recipient

Name

The Candy House of Davis 901 3rd Street Davis, CA 95616

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