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.

Logo truffles

Image lollipops

Logo lollipops

3-D molds

Image truffles

3-D sculptures

Party favors

Masterpieces

Your Name

First Name

Last Name

Email Address

Phone

Please provide your the best phone number where you can be reached

(###)

###

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Type of Product

Please indicate the type of chocolate product you would like to order

Desired Delivery Date

Please enter the intended date for the delivery of your custom chocolates

YYYY

Desired Delivery Time

Please indicate the desired time for the delivery of your custom chocolates

Number of Pieces

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

Customization Requirements

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

Notes (optional)

Please feel free to provide any other requests, needs or requirements. If you have any immediate questions, please feel free to include them here

How did you hear about us? (optional)

We'd love to know how you first learned about Voilà Chocolat.