1. Print and fill this form
2. Make a cheque or money order payable to Chocoholic Tours Pty Ltd.
3. Send both the form and payment to Chocoholic Tours (145/28 Southgate Avenue, Southbank, VIC, 3006).
4. We will send you the voucher(s) as soon as we receive your letter.

Note: as mail delivery is not 100% guaranteed, please contact us if you don't receive your voucher(s) in a few days.

*indicates a required field

*your name _________________________________________________
*your address _______________________________________________
*your telephone ____________________

Specify your order; I want:
______ voucher(s) valid for one person each
______ voucher(s) valid for two people each
______ voucher(s) valid for ______ people each (use this option for vouchers valid for three people or more)

(note: $30 per person; from December 2008, the price will be $35 per person)

Extra 1: Please add ______ gift pack(s) – $20 per pack (a box with 8 chocolates from one of Melbourne's top chocolatiers and a specially made "I'm a chocoholic" badge (to be given by Chocoholic Tours on the day of the recipient's tour)

Extra 2: Please add ______ birthday card(s) – $4.50 per card or $4.00 per card (if you buy 6 cards or more), to be sent along with the voucher(s)

If applicable, choose the image of your card(s) and specify the quantity:

____ sprinkle	____ hearts	____ bars
____ coconut	____ dark/white	____ boobie chocs

Write any comments/special requirements (if needed)
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

return to the previous page