ORDER FORM
CHOCOLATE CAPER IN-STORE PICKUP
Please fill out this form, print it and mail it in to place your order to pickup at our store in Oregon WI.
Note: We do not take online
orders and no longer ship chocolate orders.
Please allow at least one week for your order to be prepared.
Print Page
Mail To: The Chocolate Caper • P.O. Box 195 • Oregon, WI 53575
Name
Address
City
State
Zip
Phone: Daytime
Phone: Evenings
Desired Pickup Date:
(Please allow at least one week from the date you place our order.)
| Gift Boxes | |||
| Quantity | Item | Price | Total |
| Praliné Assortment (Large) | $24.50 | ||
| Praliné Assortment (Small) | $14.75 | ||
| Swiss Gift Combination | $28.80 | ||
| The Indulgence Caper | $21.50 | ||
| The Heart Caper (Large) | $29.95 | ||
| The Heart Caper(Small) | $17.95 | ||
| Stolen Caramel Caper | $14.50 | ||
| Australian Jail Break (Small) | $10.50 | ||
| Australian Jail Break (Large) | $19.95 | ||
| Subtotal | |||
| 5.5% WI State Tax | |||
| Total | |||