CHOCOLATE CONSTANT ORDER FORM
Ways to order: 1) e-MAIL this form to: order@ChristianConstant.com; 2) Fax to: 617-812-0368 3) Mail to: Christian Constant Chocolate P.O. Box 380600 Cambridge, MA 02238
SECTION I: Chocolates
Gift Boxes : Check any gifts & specify how many of each. Caviar, 2 layers: $75 , quantity? Caviar, 1 layer : $50, quantity? Shiseido: $95, quantity? Sampler, 7.5oz : $55, quantity? Sampler, 1 lb. 2.5oz : $125, quantity? Bar Quartet (4 chocolate bars) :$45, quantity? Teatime Chocolate & Fruits: $49, quantity? Sweet Bitters Chocolates : $49, quantity? Modest Gifts. Indicate your choices from the website. Modest Gifts?
Chocolate Bars : Check any choice & specify how many of each.
White chocolate bar Plain: $12, quantity? Nuts & Fruits: $12, quantity?
Dark Milk (64%) Plain: $12, quantity? Hazelnut: $12, quantity? Pistachio: $12, quantity? Almond: $12, quantity?
Grand Caraque (60%) Plain: $12, quantity? Hazelnut: $12, quantity? Pistachio: $12, quantity? Almond: $12, quantity?
Guayaquil (64%): $12, quantity? Criollo (70%): $12, quantity? Montserrat (73%): $12, quantity? St. Domingo (73%): $12, quantity? Bitterplus (80%): $15, gift boxed, quantity? Pure Chocolate (100%): $15, quantity?
Any Special Requests or comments...
Special requests?
SECTION II: Shipping MethodDuring the summer, we will pack your ganache orders with dry ice.
Standard Overnight Paris Direct
***Additional cost may be assessed for shipments outside of United States.
SECTION III: Payment Please note that your credit card will not be charged until your order is processed. We will send you a charge confirmation when this occurs (generally 24-48 hours from the time you submit your order).
Billing Information Last Name: First Name: Middle Initial:
Billing Address: City: State: Zipcode: Country:
Credit Card Type Visa Master Discover AmericanExpress Credit Card Number: Expiration date: Month Year
Shipping Address, if different from Contact Address above. Last Name: First Name: Middle Initial:
Shipping Address: City: State: Zipcode: Country: