Dearest Chocolate Lover,
   
I understand some of you may not wish to use PayPal. I designed this simple form so you may purchase your chocolates via check or credit card. I will email you a receipt and confirmation of shipment as soon as your check has cleared or your credit card has been processed. Please make sure to double-check your information to assure that you receive your love-filled chocolates quickly!
   
Yours in Health,

                              Vanessa aka Chocolate Girl

Please Download this file as a WORD DOCUMENT so you can fill it in and send it as an attachment in an email. Don't hesitate to contact our sales team or call 877 4 GNOSIS with any questions whatsoever!