Fuze Roll Pre-Order Form

Fuze Roll Pre-Order Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Pickup Date - Rolls must be pre-ordered with 24 hours notice*

MonthDayYear
Date
Pick up Time Requested - You will receive confirmation email once order is complete*

Hour Minutes

AM/PM Option
My Products
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Cookies & Cream Full Roll
11 inch Roll, 8 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$25.00



Pumpkin Roll Full Roll
11 inch Roll, 8 slices, (per serving 120 calories, 13g protein, 4g sugar, 9g carbs)

$25.00



Red Velvet Full Roll
11 inch Roll, 8 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$25.00



Banana Bread Full Roll
11 inch Roll, 8 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$25.00



Triple Chocolate Full Roll
11 inch Roll, 8 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$25.00



Chocolate Peanut Butter Full Roll
11 inch Roll, 8 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$25.00



Apple Full Roll
11 inch Roll, 8 slices, (per serving 120 calories, 13g protein, 4g sugar, 9g carbs)

$25.00



Cookies & Cream 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$15.00



Pumpkin 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 120 calories, 13g protein, 4g sugar, 9g carbs)

$15.00



Red Velvet 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$15.00



Banana Bread 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$15.00



Triple Chocolate 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$15.00



Chocolate Peanut Butter 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 100 calories, 10g protein, 3g sugar, 7g carbs)

$15.00



Apple 1/2 Roll
5.5 inch Roll, 4 slices, (per serving 120 calories, 13g protein, 4g sugar, 9g carbs)

$15.00



Total

$0.00
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