CANDYGRAMS ORDER FORM 2026 FOR CASH PAYMENT
BUY A CANDYGRAM FROM BIRCHBOTS!
Your Name
*
First Name
Last Name
Your Email
*
(Please use school account)
Your Grade Level
*
Please Select
9th
10th
11th
12th
Staff
(If teacher/faculty select "staff")
PRICING TABLE:
AMOUNT:
1
2
3
4
5
PRICE:
$5
$10
$12
$20
$21
BUY 3 FOR $12 AND 5 FOR $21
Amount of Candygrams
*
Please Select
1
2
3
4
5
Back
Next
Recipient 1's Name
*
First Name
Last Name
Recipient 1's Grade Level
*
Please Select
9th
10th
11th
12th
Staff
(If teacher/faculty select "staff")
Message to Recipient 1
Word Count:
0/25
Do you want this to be anonymous?
*
Yes
No
Recipient 2's Name
*
First Name
Last Name
Recipient 2's Grade Level
*
Please Select
9th
10th
11th
12th
Staff
(If teacher/faculty select "staff")
Message to Recipient 2
Word Count:
0/35
Do you want this to be anonymous?
*
Yes
No
Recipient 3's Name
*
First Name
Last Name
Recipient 3's Grade Level
*
Please Select
9th
10th
11th
12th
Staff
(If teacher/faculty select "staff")
Message to Recipient 3
Word Count:
0/25
Do you want this to be anonymous?
*
Yes
No
Recipient 4's Name
*
First Name
Last Name
Recipient 4's Grade Level
*
Please Select
9th
10th
11th
12th
Staff
(If teacher/faculty select "staff")
Message to Recipient 4
Word Count:
0/25
Do you want this to be anonymous?
*
Yes
No
Recipient 5's Name
*
First Name
Last Name
Recipient 5's Grade Level
*
Please Select
9th
10th
11th
12th
Staff
(If teacher/faculty select "staff")
Message to Recipient 5
*
Word Count:
0/25
Do you want this to be anonymous?
*
Yes
No
Back
Next
PLEASE HIT THE SUBMIT BUTTON TO FINALIZE ORDER
**(NOTHING WILL BE PACKED UNTIL WE RECIEVE PAYMENT VIA CASH. STOP BY ROOM 71 MON CLUB PERIOD OR MON-THURS AFTER SCHOOL.)**
Submit
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