Order Form
Lifesavers® 5 Flavor Wrappers - 1.14 oz., 14 candies

If you would prefer to call in your order or are having difficulty
with this order form, please call us at (352) 382-3868.

Date your order is needed by:

Billing Address

Name:

Company (if applicable):

Address:

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Phone 1: Phone 2:

Email Address:

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Shipping Address (if different from above)

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Payment

We accept Visa, Mastercard, PayPal, Personal Checks and Money Orders.

Please select a payment method:

Payment is due once the wrapper proof is approved for print. If you are paying by credit card, we will contact you by phone for your credit card information.


Personalization

Front Wrapper ID:

Text:

Special Instructions:


Quantity

$.50 each (Minimum order: 50)

Quantity:


Shipping

Our standard shipping method is 2-3 Day Priority Mail:
50-99 wrappers: $5.50 / 100+ wrappers: FREE

Please ship my order Express Mail for an additional cost of $11.50.

How Did You Hear About Us?

Please select:

After you submit your order, we will calculate your order total and you will be sent an email confirmation.

If you order is submitted during our business hours, you will receive your email within a couple of hours or sooner. If your order is submitted after business hours, you will receive your email the following morning.

Please click the "Submit Order" button only once.