CHRISTMAS EVE BOX

Parent's Full Name

PLEASE LIST THE FOLLOWING BELOW FOR EACH CHILD: YOUR LOCATION (TOWN), CHILD'S AGE & THREE THINGS YOUR PROUD OF THIS YEAR. PLEASE BE VERY SPECIFIC!! YOU KNOW YOUR CHILD BEST!

DO YOU HAVE ELF ON THE SHELF? IF SO PLEASE LIST YOUR ELF'S NAME BELOW:

DO YOU REQUIRE SHIPPING? IF SO PLEASE PUT YOUR ADDRESS BELOW. (FOR PURCHASES OUTSIDE OF ROCHESTER, NY ONLY) ADDITIONAL FEE WILL APPLY:

CHILD'S FULL NAME (YOU MAY INCLUDE MIDDLE NAME OR INITIAL IF DESIRED):

WOULD YOU LIKE TO ADD ON A CUSTOM SUGAR COOKIE FOR $7?(required)

YES

Phone

HOW WOULD YOU LIKE TO PAY?: CASH, VENMO OR APPLE PAY ACCEPTED.IF PAYING VIA VENMO PLEASE LIST YOUR VENMO INFO BELOW

HOW MANY SANTA PACKAGES WOULD YOU LIKE?

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PARENT'S FULL NAME

First

Last

Phone Number

Would you like to add on a custom sugar cookie for $7?

SANTA PACKAGE QTY:

CHILD'S FULL NAME

First

Last

Please included middle initial or middle name if desired*

SECOND CHILD'S FULL NAME

First

Last

THIRD CHILD'S FULL NAME

First

Last

PLEASE LIST THE FOLLOWING BELOW FOR EACH CHILD: YOUR LOCATION (TOWN), CHILD'S AGE & THREE THINGS YOUR PROUD OF THIS YEAR. PLEASE BE VERY SPECIFIC!

You know your child best so please use full sentences here.

DO YOU REQUIRE SHIPPING? IF SO PLEASE PUT YOUR ADDRESS BELOW. (FOR PURCHASES OUTSIDE OF ROCHESTER, NY ONLY) ADDITIONAL FEE WILL APPLY:

How would you like to pay?

Email BELOW. PLEASE

If you chose venmo please list your user name below:

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