Christmas Order Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

CHRISTMAS ORDER DEADLINE

The last day to place a Christmas order is WEDNESDAY DECEMBER 20th!!

We will be open for pick ups until Saturday, December 23rd!

**For large quantity orders please call us at 337-456-2394**

SPECIAL HOLIDAY HOURS

MONDAY-FRIDAY 10-5:30

SATURDAY 10-2

CHRISTMAS EVE CLOSED

CHRISTMAS DAY CLOSED

Appointment*

My Products

Small Christmas Basket$16.00

Basket wrapped with chocolate oreos, pretzels, chocolate chip cookies, peanut butter cookies, marshmallow, graham crackers, and a chocolate lollipop !

Quantity

Christmas Mug$12.99

Christmas Hot Chocolate with chocolate dipped candy cane and chocolate dipped spoon!

Quantity

Large Christmas Basket $25.00

Basket wrapped with a Hot Chocolate Bomb , chocolate oreos, pretzels, chocolate chip cookies, peanut butter cookies, marshmallow, graham crackers, Rice Krispie treat, turtle, and peppermint bark!

Quantity

Santa Plate$20.00

18 pieces with Heart Pretzels, Pretzel Rods, Pecan Clusters,Chocolate Chip, Oreo, and Peanut Butter Cookies, graham crackers.

Quantity

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
18 Piece Box		$17.00
30 Piece Box		$24.00
50 Piece Box		$35.00

Item subtotal:$0.00

Prancer Pack$10.00

Variety pack includes chocolate pretzels, oreos, graham cracker, a Rice Krispie treat, and a Christmas tree lollipop!

Quantity

Merry Christmas Specialty Platter$50.00

50 pieces on a decorative tin platter with Heart Pretzels, Pretzel Rods, Pecan Clusters,Chocolate Chip, Oreo, and Peanut Butter Cookies, graham crackers **includes specialty items such as: peppermint bark, turtles, and brownie bites!

Quantity

Peppermint Bark$8.00

Flavor	Quantity
Milk
White
Milk/White

Chocolate Caramel Apple$8.00

Reg/Fancy	Quantity	Flavor	Price
Plain			$8.00
Fancy(pecans)			$9.00

Item subtotal:$0.00

Caramel Pecan Pretzel Sticks $5.00

2pk

Flavor	Quantity
Milk / White

Item subtotal:$0.00

Caramel Pretzel Sticks$4.00

2 pk

Flavor	Quantity
Milk
Dark

Item subtotal:$0.00

Pecan Caramel Turtles$4.00

2pk

Flavor	Quantity
Milk
White
Dark
Milk/White

Item subtotal:$0.00

Chocolate Covered Pretzels$4.00

4pk

Flavor	Quantity
Milk

Chocolate Peanut Butter Cookies$5.00

4 pk

Flavor	Quantity
Milk
White
Dark
Milk / White

Item subtotal:$0.00

Chocolate Covered Oreos$4.00

4pk

Flavor	Quantity
Milk
Dark
Milk / White

Item subtotal:$0.00

Sea Salt Caramels$3.75

2pk

Flavor	Quantity
Milk
Dark

Item subtotal:$0.00

Rice Krispie Treats$2.00

1pk

Flavor	Quantity
Milk
White
Dark

Item subtotal:$0.00

Marshmallow$2.00

1pk

Flavor	Quantity
Milk

Item subtotal:$0.00

S'more$2.25

1pk

Flavor	Quantity
Milk
White
Dark

Item subtotal:$0.00

Graham Cracker$2.00

1pk

Flavor	Quantity
Milk
White
Dark

Item subtotal:$0.00

Brownie Bite$2.00

1pk

Flavor	Quantity
Milk
White
Dark

Item subtotal:$0.00

Heavenly Hash$3.00

1pk

Flavor	Quantity
Milk
White
Dark

Item subtotal:$0.00

Chocolate Covered Strawberries $12.00

Chocolate Covered Strawberries are offered in White, Milk, or Dark chocolate.

Size	Quantity	Flavor	Price
6 Strawberries			$12.00
12 Strawberries			$24.00

Item subtotal:$0.00

Hot Chocolate $5.00

Flavors	Quantity
Milk chocolate

Subtotal $0.00Tax $0.00Total $0.00

Payment Methods

Debit or Credit Card

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Last Name

Credit Card Number

Security Code

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Please click one of the PayPal options to complete payment and submit the form.

Lolli's Chocolates of Lafayette

CHRISTMAS ORDER DEADLINE

SPECIAL HOLIDAY HOURS