Candy Gram Order Form

1
Order FormPlease choose what you would like to purchase. You will be able to select recipients, candy type and add messages later. Note: If you are purchasing more than 5 individual candy grams OR more than 5 bundles, please fill out the form again. Trouble navigating the form? Try this troubleshooting guide: https://docs.google.com/presentation/d/16wR0hGB0XkVCwMunp7VhpEf2ljdQY2nf3bIT_oVgswY/edit?usp=sharing
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Single Candy Gram
1 candy gram
$2.00Edit
Back
0
0
1
2
3
4
5
Quantity
Subtotal: $0.00
3 for $5 Candy Grams
3 candy gram bundle (Must Buy 3)
$5.00Edit
Back
0
0
1
2
3
4
5
Quantity
Subtotal: $0.00
Donation - Single Candy Gram
Donate a Candy Gram to a senior anonymously.
$2.00Edit
Back
0
0
1
2
3
4
5
6
7
8
9
10
Quantity
Subtotal: $0.00
Donation - 3 Candy Gram Bundle
Donate Candy Grams to 3 seniors anonymously.
$5.00Edit
Back
0
0
1
2
3
4
5
6
7
8
9
10
Quantity
Subtotal: $0.00
Total cost $0.00
2
Single Candy Gram - Recipient 1Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's First and Last Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
3
Single Candy Gram - Recipient 2Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
4
Single Candy Gram - Recipient 3Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
5
Single Candy Gram - Recipient 4Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
6
Single Candy Gram - Recipient 5Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
7
Candy Gram Bundle #1 - Recipient 1Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's First and Last Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
8
Candy Gram Bundle #1 - Recipient 2Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
9
Candy Gram Bundle #1 - Recipient 3Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
10
Candy Gram Bundle #2 - Recipient 1Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
11
Candy Gram Bundle #2 - Recipient 2Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
12
Candy Gram Bundle #2 - Recipient 3Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
13
Candy Gram Bundle #3 - Recipient 1Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
14
Candy Gram Bundle #3 - Recipient 2Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
15
Candy Gram Bundle #3 - Recipient 3Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
16
Candy Gram Bundle #4 - Recipient 1Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
17
Candy Gram Bundle #4 - Recipient 2Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
18
Candy Gram Bundle #4 - Recipient 3Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
19
Candy Gram Bundle #5 - Recipient 1Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
20
Candy Gram Bundle #5 - Recipient 2Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
21
Candy Gram Bundle #5 - Recipient 3Please fill out the following information. Messages are limited to 150 characters. If messages include material that has been deemed non-school appropriate or is left blank, the message will be replaced with a generic "Congratulations 2021 Graduate!". Thank you for your cooperation and understanding.
Recipient's Name
Sender's Name
Message (up to 150 characters)
Please Select
Please Select
Hershey's Milk Chocolate
Reese's Peanut Butter Cup
M&Ms (Milk Chocolate)
M&Ms (Peanut)
Kit Kat
Swedish Fish
Sour Patch Kids
Skittles
Starbursts
Oreos
Candy Selection
22
Purchaser Contact Information* This field is required.In case we need to reach you about your order.
First Name
Last Name
Email
23
Payment Methods
Debit Or Credit Card
Select PayPal Method
Choose from one of the PayPal options to make your payment.
Should be Empty: