Fill Out form On Line to Order or Print to Your Printer to Phone or Fax in Later.
HERESHEIS
wrappers
HEREHEIS
wrappers
Please
enter
quantity
you
are
ordering
(50
minimum)
Add
a
Full
Color
or
B&W
Picture
Prices
Ms.Goodgirl
wrappers
Mr.Goodboy
wrappers
Lil'Honey
wrappers
Sweetheart
wrappers
Please
enter
quantity
you
are
ordering
(25
minimum)
Add
a
Full
Color
or
B&W
Picture
Prices
Please
send
wrapped
candy
bars.
I
understand
there
is
an
additional
charge.
Baby's
Name
(as
you
want
it
to
appear
on
front)
Weight
Lb.Oz.
Length
Day
and
Date
of
Birth
Time
of
Birth
AM
PM(Please
choose
one)
Horoscope
"Born
under
the
stars
of"
(optional,
no
charge)
Click
on
it!
City
and
State
Where
Born
Delivering
Doctor,
Midwife,
CNM,
etc.
(Please
specify)
Hospital,
Med.
Center,
etc.
(as
you
want
it
to
appear)
Parents'
Names
Siblings
-
please
specify
brother(s)
and/or
sister(s)
Grandparents
Other
info
Regular
size
WRAPPERS
HERESHEIS
...............
fits
1.55
oz.
HERSHEY®
Milk
Chocolate
candy
bar
HEREHEIS
...............
fits
1.45
oz.
HERSHEY®
with
Almonds
candy
bar
Check
this
box
if
you
want
your
HEREHEIS
wrappers
to
fit
the
Milk
Choc.
bar
Ms.Goodgirl
and
Mr.Goodboy
wrappers
are
designed
to
fit
1.75
oz.
Mr.Goodbar®
candy
bars.
Lil'Honey
wrappers
fit
1.7
oz.
Bit-O-Honey®
candy
bar
MINIATURE
WRAPPERS
ALSO
AVAILABLE
to
fit
Hershey®
assorted
miniatures
Please
enter
quantity
you
are
ordering
Expires
Name
as
it
appears
on
card
Phone
in
Card
number
if
you
prefer
Toll
Free
(877)
685-6397
Ship
To:
Orders
are
printed
EVERY
DAY!
Mon.
thru
Fri.
*guaranteed
next
day
with
Fed
X.
*Orders
received
by
12
noon
PST
ship
the
same
day.
(FedX
guarantee
guidelines
apply)
Or
use
Priority
Mail
by
the
US
Postal
Service,
usually
2
to
4
days
for
delivery.
(not
guaranteed)
CHOOSE
ONE
Priority
Mail
FED
X
Choose
this
box
for
FedEx
to
leave
without
signature
Choose
this
box
for
Saturday
Delivery
Prices
Orders
placed
on
Friday
by
noon
can
be
delivered
Saturday
with
FedX.
Your
order
will
arrive
Monday
if
Saturday
delivery
is
not
checked.
Phone
Number
(home)
Phone
Number
(work)
E
Mail
address
Is
this
a
gift?
Give
us
your
mailing
address
to
send
the
receipt
and
sample
to.
(if
different
than
“Ship
To”)
Additional
comments:
Where did you hear about us? or How did you find us?
THANK
YOU
FOR
YOUR
ORDER!
You
will
see
a
confirmation
page
when
you
“Submit
Order”
If
you
need
to
make
revisions,
come
back
to
this
form
then
submit
again.
We
will
use
the
last
form
you
submit.