Cocoa & Kindness Order Form

Cocoa & Kindness Box Descriptions

Buy kindness boxes for yourself, family, friends, or employees, or mark below that you’d like us to donate one in your name to someone in need.

$20 – Individual Gift Boxes (8x8x4):

Gift box with gourmet chocolate, a hot cocoa cone, a Blizzard of Kindness Cookie Cutter, and other small treats and gifts
A “you are aDOOR’d!” door hanger to surprise someone with kindness
Your ticket to the virtual Kindness Celebration in February
One raffle ticket for prizes at the virtual Kindness Celebration in February (must be logged into the Zoom event to win)
Your name on the Wall of Kindness at Nichol's Library to inspire others to complete their act of kindness

$50 – Family Activity Boxes (12x9x4.5):

7 activities for a family with up to three kids to “Live Inside Out” including a Blizzard of Kindness Jar, Sprinkle Kindness Cookie Cutters, Kindness in an Envelope, and more
Hot cocoa cones and other small treats
A “you are aDOOR’d!” door hanger to surprise someone with kindness
Your family’s ticket to the virtual Kindness Celebration in February
One raffle ticket for prizes at the virtual Kindness Celebration in February (must be logged into the Zoom event to win)
Your family's name on the Wall of Kindness at Nichol's Library to inspire others to complete their act of kindness

Box Order Form

Please indicate how many of each type of box you would like to order:

# of Individual Gift Boxes ($20 each)

# of Family Activity Boxes ($50 each)

Would you like for Inside Out Club to donate on your behalf any of the boxes you're purchasing to an individual or family in need? These will be given to organizations like DuPagePads, Project HELP, Heart of a Veteran, and/or to health care workers.

YesNo

Number of boxes to donate:

Of the Individual Gift Boxes you're purchasing, how would you like to donate?

Of the Family Activity Boxes you're purchasing, how many would you like to donate?

Add: 10 Raffle Tickets for $10.
What's a celebrations without fun surprises? We'll be raffling off 10 great prizes valued at $25+ (hint: $50 Amazon gift card and $50 Target gift card are just two of the items!) at our virtual Celebration of Kindness event on February 13th. Note: Must be logged into the Zoom event to win - seeing someone's smile right when their name is called is part of the fun!
How many sets of 10 raffle tickets would you like to add?

Cocoa & Kindness Wall: We will be posting the purchaser's first and last name to our Cocoa & Kindness wall at Nichols Public Library. If you do not want your name included on the wall, please check this box.

Please do not put my name on the Cocoa & Kindness wall

Pick-Up / Delivery / Shipping Options

Cocoa & Kindness boxes can be picked up, delivered or shipped. Please read this information carefully prior to making your selection.

Pick-Up - FREE

Pick-up location is about 1 mile West of downtown Naperville. Time and date will be emailed to you upon completion of the order. The schedule is also posted below.

Local Delivery - $10

You may select this option only if you meet the following criteria -

Order 5 or more boxes and
live within 5 miles of downtown Naperville

Please note: All of the boxes will be delivered to a single address. We will deliver to the address provided in check out. If this is not the correct address for delivery, please email diane@insideoutclub.org with the delivery address. Deliveries will be made on the the pick-up dates listed in the schedule below or the day prior. You will be contacted by phone prior to the delivery.

Shipping - Cost determined on a per package basisIf you select this option, we will contact you about shipping by mail. You will be charged for the boxes now and the shipping later. Shipping costs will include the cost to ship plus a handling fee.

How would you like to receive your boxes?

I will pick up all of my boxes. I am selecting local delivery and acknowledge the cost and requirements above.I would like my box(es) shipped. I understand that Inside Out Club DuPage will contact me about shipping details and payment.

Pick-Up Schedule

Purchases made between December 1st - 19th

10AM-Noon Pick-Up on Sunday, December 20th

Purchases made between December 19th - January 7th

10AM-Noon Pick-Up on Saturday, January 9th

Purchases made between January 8th - January 22nd

10AM-Noon Pick-Up on Saturday, January 23rd

Purchases made between January 23nd - February 10th

10AM-Noon Pick-Up on Thursday, February 11th between 5 - 7 pm

We'll celebrate kindness (virtually) with a cup of cocoa on February 13th at 4 PM!

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Order Summary

# of Individual Boxes

Total

# of Family Boxes

Total

Sets of 10 Raffle Tickets

Total

Local Delivery Fee

Total Cost:

# of your purchased boxes being donated

Payment Information

Buyer First Name

Buyer Last Name

Phone

This number is:

Cell phoneHome phone

Billing Street Address

Billing City

Billing State

Billing Zip Code

Name on Card

Card Number

Code

Contact Information