H+M Delights Order Form

H+M Delights Order Form

Order Form

My Products

Cookies

Please choose by the dozen (12) intervals

$15.00

Flavors	Quantity
Chocolate chip
Snickerdoodle
Strawberry
Smores
Vanilla
Oatmeal raisin
Lemon
Red velvet

Item subtotal:

Brownies

Please choose by the half dozen (6) intervals

$18.00

Flavors	Quantity
Original
Espresso
Caramel
Pb cup
Caramel pretzel
Cookies & cream
Red velvet

Item subtotal:

Subtotal

Shipping

Total

Name

First NameLast Name
E-mail
example@example.com
Contact Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is shipping address same as billing address?
Shipping Adress

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List any diets or requests! DF/GF/SF
Payment Method
Should be Empty: