Form
Letter/Number Box
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Date of Event( must be places at least 2 weeks before actual date or $30 late fee will apply
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pick up ONLY
Please Select
12:00pm noon day of
Letter/Number Box
Ex:”L” or “24”
Color Scheme ( all colors comes with white color)
Accent color
Gold or Silver (choose only 1)
LETTER/NUMBER BOX
*
LETTER / NUMBER Box( contains 12 chocolate strawberries, 8 mini vanilla & chocolate cupcakes, assorted milk chocolate depending on color ) sub total $100.00
Liquor Choice ( infused into strawberries in pipette tubes)
Henny, Patron
2 Gold/Silver Bling , 2 color scheme bling, 4 sprinkles & 4 freestyle
Yes
Any additional details please put here
Take Photo
Add Ons
*
Add a mini bottle $8.00
Add more color bling $10.00
Add “HB” + Name $10.00
Add Crystal w gold/silver $12.00
Add more colors $5.00
Add metallic colors/sparkle $6.00
Add edible images $20.00
Add Ons
Add a mini bottle $8.00
Add more bling
Type option 3
Type option 4
Payment
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Letter/Number Box
$100.00
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Credit Card
Rush fee $30.00 please add to your order if your event is within a week
yes
no
Signature , I agree that everything listed above is correct . i agree that this sale is final no REFUNDS.
Submit
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