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 BarSelect 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.*