Candy Bouquet Pre-Order Form - Center for Disability Services

Candy Bouquet Pre-Order Form
Green Dreams is an employment opportunity offered at Core Connections,
an Adult Day Service program of Center for Disability Services.
All purchases support the employment
of individuals with developmental disabilities.
Botanicals & Accessories
“Imagine the Growth”
$5.00 average of
7 small bars
$10.00 average of
3 large, 6 small bars
$15.00 average of
5 large, 8 small bars
$20.00 Average of
7 large, 10 small bars
$15.00 Dum Dum
Bouquet 85 suckers
Vases and colors vary on all orders.
Payment is due at time of order. CDS accepts cash, checks,
credit cards and PayPal through www.centerds.org. For credit,
please call 344-2995 or stop by the office at 175 S. Williams St.
Orders are accepted at the office, by fax to 740-344-8335, mail
to CDS address , or email to greendreamsorders@centerds.org.
We will contact you when your order is ready for pick up.
175 S. Williams St. • Newark, OH 43055
(740) 344-2995 • www.centerds.org
Plants, vegetables, and garden accessories are also available from Core Connections. Please contact Tracy for a time to see our selection at
Eastland, 1014 E. Main Street in Newark, or check out our website, www.centerds.org. Tracy Jones, Director, Adult Day Services, 740-404-7256 .
Bouquets may be ordered with mixed candy or with one specific candy. Choices include Snickers, Reese’s, Hershey bars,
Butterfinger, Twix, Kit Kat, Milky Way or 3 Musketeer. Call for additional special orders. Excludes the Dum Dum Sucker bouquet.
Mixed Candy
Quantity
$5.00
Candy Bouquet
$10.00
Candy Bouquet
$15.00
Candy Bouquet
$20.00
Candy Bouquet
$15.00
Dum Dum Sucker
Single Candy
Please specify
Quantity
Total Cost
Grand Total
Name: _________________________________________________________________________________
Address: ________________________________________________________________________________
Phone Number: _________________________ Email: ___________________________________________