Bakery Order Request
Name
*
E-mail
*
Contact Number
*
-
Area Code
Phone Number
Customer Status
*
New
Returning
Order Request
*
Cake (regular)
Pound Cake
Pecan Pie
Banana Pudding
Strawberry Shortcake
Chocolate Chip Cookies
Chocolate Chip w/ Nuts
Flavor(s)
*
please be specific
Quantity | Layer Option
*
Two Layer
Three Layer
Regular Dish (pecan pie ONLY)
Deep Dish (pecan pie ONLY)
Single Cookie
Multiple Cookies
Date Required
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2018
2017
2016
2015
2014
Year
Pick up/Delivery
*
Pick up
Delivery
Delivery Address
Occassion
*
No. of Servings
*
Payment Method
*
Zelle
CashApp
Cash
Additional Info
please indicate any allergies and/or special requests
How did you hear about us?
Please verify that you are human
*
Submit
Should be Empty: