Full Name
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First Name
Last Name
Mobile/Phone Number
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Area Code
Phone Number
E-mail
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Cupcake Flavor (2 Dozen Minimum, 1 Dozen if combined with order)(You can pick multiple choices if needed)
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Vanilla
Chocolate
Lemon
Red Velvet
Strawberry
Blue Velvet
Yellow Cake
Other
Cupcake Quantity (You can pick multiple selections)(For pull-apart cupcakes please specify in “other” box)
*
1/2 Dozen
(1) Dozen
(2) Dozen
(3) Dozen
(4) Dozen
Other
Icing Flavors
*
Vanilla
Chocolate
Cream Cheese
Strawberry
Lemon
Other
Cupcake Fillings
Milk chocolate
Dark chocolate
White chocolate
Strawberry Compote (Sauce)
Pineapple Compote (Sauce)
Raspberry Compote (Sauce)
None
Other
Special request (ex. Theme, Colors, fondant toppers, cupcake toppers, sprinkles etc)
Delivery or Pick-up
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Delivery
Pick-up (105 Maxess Rd Melville NY 11747)
Address of Delivery (if applicable)
Street Address
Street Address Line 2
City
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Postal / Zip Code
Choose your date for pick up or delivery
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Day
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Date
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We would love to know how you heard about us😃 (ex. Google, Yelp, Popup shop, Referred by)
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Preferred Contact Method
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PHONE (Receive “RealTime” messages on our ETA •estimated time of arrival•)
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