Custom Cupcake Order Request Form

Custom Cupcake Order Request Form

Once your order request is submitted, I will reach out to you to confirm details and finalize your order. *Products contain milk, eggs, wheat, and in some cases, nuts. Please notify me of any allergy concerns. Thank you!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What is the event/theme?*
Please select the date of your event:*

MonthDayYear
Date
How many guests will be at your event?*
Select your cake flavor:*

VanillaChocolateFunfettiRed Velvet
Cupcake frosting:*

Vanilla ButtercreamChocolate ButtercreamDark Chocolate GanacheMascarpone Whipped CreamCream Cheese FrostingItalian Meringue Buttercream
Cupcake filling (optional: an additional charge will apply):

Vanilla ButtercreamChocolate ButtercreamRaspberry FillingMixed Berry FillingDark Chocolate Ganache*Cream Cheese FrostingMocha Ganache*Mascarpone Whipped Cream
Please include any additional notes or requests here (colors/themes, decoration requests, allergy concerns, etc.). If you would like, you can email inspiration photos for your custom cake at moonlight.confectionsnj@gmail.com. *Please note that additional charges may apply depending on how elaborate the requested design is.
Do you have a budget?

YesNo
If so, please specify your budget:
Pickup or Delivery? (Delivery strongly recommended for tiered cakes)*
*Delivery available within Bergen County only. Please refer to the FAQ tab on my website to view towns eligible for delivery.
If delivery, what is the delivery address?
*Please note that a delivery fee will apply. The fee amount depends on location. I will include the fee in the invoice once your order is confirmed.
Should be Empty: