We Rock the Spectrum Candy Grams
Fundraiser for My Brother Rocks the Spectrum
Your Name
*
Your E-mail
*
example@example.com
Your Contact Number
*
What is your preferred form of communication?
Text
Phone call
Email
Please select the Candy Gram you would like to purchase
Basic- $1- 1 valentine and 3 pieces of candy
Deluxe- $3 -1 valentine and 6 pieces of candy
Supreme- $6- 1 valentine, 6 pieces of candy and a small fidget
How many Candy Grams would you like to purchase and what type?
What date will you pick up your candy gram?
A little info about the recipient…
So we can get things just right!
Please provide the recipients name(s)
Does the recipient(s) have any food allergies, diet restrictions or dislikes?
Yes! (list below)
No. All candy is okay!
List food allergies/restrictions
Describe what kind of candy you would like to add to your candy gram.
Submit
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