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ORDER FORM SUMMER 2019First Name: Surname: Date of Order: / / Phone:
Email: Delivery Address: City: State: Post Code:
Sign me up for the latest news and events from Destiny Haven
BELGIAN CHOCOLATEItem Qty Price Subtot
alItem Qty Price Subtot
alDreamy Drink, Milk
$4.50 Fruit & Nut Bar, Dark
$7.00
Dreamy Drink, Dark
$4.50 Fruit & Nut Bar, Milk
$7.00
Dreamy Drink, Caramel
$4.50 Berry Bliss Buttons
$7.50
Dreamy Drink, Chai
$4.50 Coffee Crunch Buttons
$7.50
Rocky Road, Milk
$5.00 Glitter & Gold Buttons
$7.50
Rocky Road, Dark
$5.00 Salted Caramel Bar
$5.00
Rocky Road, C&C
$5.00 Hazelnut Crunch Bar
$5.00
Dreamy Date, Milk
$2.80
Dreamy Date, Dark
$2.80 Chocolate Box – 2pk*
$5.00
Caramel Coconut Bark
$9.50 Chocolate Box – 4pk*
$10.00
Sweet Pistachio Bark
$9.50 ChocolateBox–Deluxe 9pk*
$22.00
Berry Almond Bark
$9.50 *See space below to customise chocolate boxes
Subtotal 1
GOURMET DELIGHTSItem Qty Price Subtot
alItem Qty Price Subtot
alMawberry Jam 110ml $5.00 12/10 Fiery Chilli $8.50
Relish270g
Mawberry Jam 270ml
$8.50 Pure Honey 110ml
$5.00
Peachy Apricot Jam 110ml
$5.00 Pure Honey 270ml
$8.50
Peachy Apricot Jam 270ml
$8.50 Chilli Infused Honey 110ml
$5.00
Berry Pass Jam 110ml
$5.00 Chilli Infused Honey 300ml
$9.00
Berry Pass Jam 270ml
$8.50 Classic Pudding 500g
$10.00
Mini Gift Trio
$8.50 Classic Pudding 1kg
$15.00
1/10 Mild Chilli Relish 110g
$5.00 Pudding w/Almonds 500g
$10.00
1/10 Mild Chilli Relish 270g
$8.50 Pudding w/Almonds 1kg
$15.00
5/10 Hot Chilli Relish 110g
$5.00 $25 Hamper*
$25.00
5/10 Hot Chilli Relish 270g
$8.50 $50 Hamper*
$50.00
10/10 Red Hot Relish 110g
$5.00 $75 Hamper*
$75.00
10/10 Red Hot Relish 270g
$8.50 $100 Hamper*
$100.0
12/10 Fiery Hot Relish 110g
$5.00 $150 Hamper*
$150.0
*See space below to customise hampers $200 Hamper*
$200.0
Subtotal 2
HANDCRAFTED DESIGNSItem Qty Price Subtot
alItem Qty Price Subtot
alBag
$25.00
Destiny Delights Cookbook
$25.00
Subtotal 3
Subtotal 4 Postage**
Total
**Upon receiving your order Destiny Haven will calculate postage and be in contact with you regarding invoice and payment details.
SPECIAL INSTRUCTIONS*Use this space if you wish to customise chocolate boxes, gift hampers, etc. All hampers and chocolate boxes will otherwise come in one of our popular selections.
To submit your order: Email: [email protected]
Mail: PO Box 106, Clarence Town NSW 2321
DESTINY HAVEN | PO Box 106, Clarence Town, NSW 2321 | P. (02) 4996 5558 | F. (02) 4996 5689 E. [email protected] | W. www.destinyhaven.org.au | ABN 4277 5739 552
