Custom Bakery Order Form
Type of Order
*
Delivery
Pickup
Pick-up/Delivery Date
*
-
Month
-
Day
Year
Date
Pick-up/Delivery Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Customer's Name
*
First Name
Last Name
Customer's Email
*
example@example.com
Customer's Phone Number
*
-
Area Code
Phone Number
Delivery Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Bakery Products
*
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Cupcakes
$
2.00
Quantity
Flavor
Chocolate
Mocha
Marble
Double Dutch
Icing
Chocolate
Caramel
Strawberry
Vanilla
Cookies
$
0.25
Quantity
Flavor
Chocolate
Mocha
Marble
Double Dutch
Icing
Chocolate
Caramel
Strawberry
Vanilla
Size
Small
Large
Doughnuts
$
0.99
Quantity
Flavor
Chocolate
Mocha
Marble
Double Dutch
Icing
Chocolate
Caramel
Strawberry
Vanilla
Rolls
$
0.25
Quantity
Flavor
Garlic
Cheese
Plain
Bread
$
0.25
Quantity
Flavor
Garlic
Cheese
Plain
Cake
$
29.99
Quantity
Flavor
Chocolate
Mocha
Marble
Double Dutch
Icing
Chocolate
Caramel
Strawberry
Vanilla
Size
Small
Large
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Method of Payment
*
Please Select
Credit Card
Cash on Delivery
Check
Purchase Order
Paypal
Bank Transfer
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Event Type
Wedding
Anniversary
Birthday
Graduation
No event
Other
Important Reminders
After submitting this form, we'll check your order and we'll contact you within 24-48 hours for confirmation.
The turn around time depends on the ordered items.
Taxes and Shipping Fee will be applied for every order.
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