2012 Easter Treat Survey for the Kelly Family

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Which of the following would you like for Easter 2012? *

If you choose a Bath and Body item, proceed to the end and fill in your name. If you chose a candy, proceed the the section that lets you specify your candy type.

Florence's Easter Bunny

Florence's Filled Easter Egg

Bath and Body Triple Moisture Shower Cleanser

Bath and Body Triple Moisture Body Cream Lotion

If you chose the Florence's Filled Easter Egg, which one of the following fillings would you like?

(Choose one)

Caramel

Caramel Macademia

Caramel Pecan

Caramel Almond

Caramel Cashew

Strawberry Cream

Neopolitan Cream

Coconut Cream

Orange Cream

Peanut Butter Cream

Victorian Cream-rum w/pecan

Maple Nut

Cherry Nut

Almond Joy

Irish Mint

Chocolate Mint

Brown Sugar with Pecans

Huckleberry

White Chocolate Egg with Fudge Center

Clear selection

If you chose an Easter Bunny, which one of the following would you like?

(Choose one)

Milk Chocolate Bunny

White Chocolate Bunny

Dark Chocolate Bunny

Clear selection

What is your name? *

Please fill in your name so that we deliver to the correct kids!

Submit

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