Form

La Pica Dulce

Candy Order Form
Name

First NameLast Name
Address For Delivery

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Todays Date

MonthDayYear
Date
Everything is made to order to ensure the freshest produtcs possible.

Candy and Rim Dip have a 24hour turn around. We will contact if order is done sooner to arrange delivery or pick up.

Free Delivery on Fort Sill.

Pick Up location on Fort Sill in Buffalo Soldier Neighborhood.

Customers outside Fort Sill can pick up or delivey fee will be applied to order. Charge based on distance.

I accept Zelle, CashApp, and Cash. When I receive your order I will confrim the order and payment.
Classic 4oz $5.00
Classic 8oz $9.00
Deluxe 4oz $6.00
Deluxe 8oz $10.00
A La Carte
Variety Mix Classic ( pick 4 ) $18.00
Variety Mix Deluxe ( pick 4 ) $22.00
If you would like multiple of any above items please list the items Name, Size, and Quantity. Thank You.
Should be Empty:

La Pica Dulce