Custom Chocolates form

Are you looking to order an amazing, unique gift made of the highest-quality chocolate? Are you looking to print your own image, message or logo on your custom-made chocolate truffles or lollipops? Or even commission one-of-a-kind chocolate sculpture or artistic creation? If so, please fill out the form below.

Your Name *
Your Name
Phone *
Please provide your the best phone number where you can be reached
Please indicate the type of chocolate product you would like to order
Desired Delivery Date *
Desired Delivery Date
Please enter the intended date for the delivery of your custom chocolates
Please indicate the desired time for the delivery of your custom chocolates
Please let us know the approximate number of pieces you expect to order. This is just a preliminary ballpark - you will have a chance to revise and finalize this number later in the proicess
Please tell us what you want to do to customize your chocolates. Do you want to print an image, logo; or create a customized box? Please also include any other wishes and requirements you have
Please feel free to provide any other requests, needs or requirements. If you have any immediate questions, please feel free to include them here
We'd love to know how you first learned about Voilà Chocolat.