Custom Cookie Request Form

Custom Cookie Request Form
What would you like?

Use this form to tell me a little more about your order. Once you click 'send,' I will contact you, confirm the details, and collect payment.

This form collects the information. It does not confirm an order or collect payment.

You can make an order request up to 6 months in advance. If your pick-up date is less than a week away, I may be able to fast-track your order, so please reach out!

Pricing: typically $67/dozen (12), but could be higher based on the number of designs and complexity requested.

Are you having a problem with this form? Please email me at corvalliscookiehugs@gmail.com. Thank you!
Name*

First NameLast Name
Email*
example@example.com
Phone number*
Format: (000) 000-0000.
How did you hear about Corvallis Cookie Hugs?*
What would you like to order? *
Upload your logo or inspiration photos here:

Cancelof
VanillaChocolate ChipConfetti (vanilla cookie with sprinkles)
RegularGluten-freeVeganVegan & Gluten-free
Pick-up (1099 NW Charlemagne Pl, Corvallis)Delivery ($10 Corvallis)Delivery ($18 Philomath/Albany)
Pick-up Date & Time - (If your preferred date or time isn't available, I will recommend alternatives).

MonthDayYear
Date
Hour MinutesAM/PM Option
Delivery Date & Time - (If your preferred date or time isn't available, I will recommend alternatives).

MonthDayYear
Date
Hour MinutesAM/PM Option
Deliver this order to:

First NameLast Name
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: