|5869 Ware Neck Rd.
Gloucester, VA 23061
Easter Egg Order Form
Order Deadline: Sunday, MARCH 18th
Hand dipped 6 oz. chocolate covered egg, in a clear plastic container with Easter grass. $5.00 each. (Personalization optional – see below)
3 oz. eggs (no personalization) wrapped, no container or grass $3.00 each
Filling choices: butter cream, chocolate, coconut, peanut butter, & butter pecan
Money must be collected at the time of order.
If writing a check, make it payable to: Singleton UMW
Customer_____________________________ Phone Number________________
(list each individually)
Please Print neatly & limit writing to 8 characters, please)
Order total- # of eggs__________Total $ collected ______________
Pick Up Date ______________________
Church contact member (seller)-______________________________
Order # ___________