Lolli's Chocolates of Lafayette
Easter Order Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Appointment
*
My Products
prev
next
( X )
Chocolate Covered Strawberries
$
12.00
Chocolate Covered Strawberries are offered in White, Milk, or Dark chocolate.
Size
Flavor
Quantity
Price
6 Strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
$
12.00
12 Strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
$
24.00
Item subtotal:
$
0.00
Easter Bunny Basket
$
28.00
A perfect gift from the Easter Bunny!! Easter basket with handle filled with a Large solid chocolate bunny, pastel chocolate pretzels, brownie bite, s'mores, rice krispie, chocolate covered oreos, chocolate chip cookies, peanut butter cookies, graham crackers, pretzels, marshmallows.
Color
Quantity
Girl
1
2
3
4
5
6
7
8
9
10
Boy
1
2
3
4
5
6
7
8
9
10
Small Happy Easter Basket
$
16.00
Easter basket includes wrapped chocolate covered oreos, chocolate chip cookies, peanut butter cookies, graham crackers, pretzels, marshmallow, and a solid chocolate bunny!
Quantity
1
2
3
4
5
6
7
8
9
10
Large Happy Easter Basket
$
24.00
Easter basket includes wrapped chocolate covered rice krispie treat, brownie bite, oreos, chocolate chip cookies, peanut butter cookies, graham crackers, pretzels, marshmallow, and a solid chocolate bunny!
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Caramel Apples
$
8.00
Flavor
Quantity
Reg/Fancy
Price
White
0
1
2
3
4
5
6
7
8
9
10
Regular
Fancy(with pecans)
$
8.00
Milk
0
1
2
3
4
5
6
7
8
9
10
Regular
Fancy(with pecans)
$
8.00
Variety Boxes
$
17.00
Gift box all dipped with Heart Pretzels, Pretzel Rods, Pecan Clusters,Chocolate Chip, Oreo, and Peanut Butter Cookies all dipped in chocolate
Size
Quantity
Price
Small
1
2
3
4
5
6
7
8
9
10
$
17.00
Large
1
2
3
4
5
6
7
8
9
10
$
24.00
Variety pack
$
10.00
Pretzels, oreos, graham cracker, brownie bite, chocolate bunny
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Birthday Basket
$
23.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, brownie bite and pecan turtle!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Thank you Basket
$
23.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, brownie bite and pecan turtle!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Get Well Soon Basket
$
23.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, brownie bite and pecan turtle!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Large Solid Chocolate Bunny
$
7.99
Flavor
Quantity
White
1
2
3
4
5
6
7
8
9
10
Milk
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Pastel Colored Hearts
$
4.00
6 pk of pastel colored heart pretzels
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Covered Oreos
$
4.00
4pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Chocolate Covered Pretzels
$
4.00
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Caramel Pecan Pretzel Sticks
$
5.00
2pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Caramel Pretzel Sticks
$
4.00
2 pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Pecan Caramel Turtles
$
4.00
2pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Pecan Clusters
$
5.00
5pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Almond Clusters
$
5.00
5pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Chocolate Peanut Butter Cookies
$
4.00
4 pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Rice Krispie Treats
$
2.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Graham Cracker
$
1.75
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Sea Salt Caramels
$
3.50
2pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/Dark
1
2
3
4
5
6
7
8
9
10
Marshmallow
$
1.75
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Brownie Bite
$
1.75
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Heavenly Hash
$
3.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
S'more
$
2.25
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: