Candy Gram Order Form To (if you're not a NHS employee, please contact HR):* From (you may write "anonymous" if you wish to do so):* Customized Note (Optional):Write a small note to go with your candy gram! Candy Options ($1 each)* Skittles Reeses KitKat Pack of Gum Surprise Milkyway Hershey Bar Dove Dark Chocolate Bar Protein Bar Select the candy gram(s) you would like to send! *Authorization/Payment - by typing my name in this box, I agree to have the appropriate dollar amount for my candy grams deducted from my February 22 paycheck.*