Click this link to be taken to our digital application: Click Here

From the link you will need to either download or print the form to complete it. Once the form is completed you may email it to customerservice@waggonerchocolates.com or print it out and hand deliver it to our storefront at 1281 S. Main St., N. Canton, OH 44720.

Please call (330) 433-1834 with any questions.