Lolli's Chocolates of Lafayette
Spring Order Form
Name
*
First Name
Last Name
Email
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example@example.com
Phone Number
*
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Area Code
Phone Number
Appointment
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My Products
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Ballet Slipper
$
30.00
Ceramic ballet slipper filled with chocolate Pretzels,brownie bites, Oreos,chocolate molds and other marshmallows!
Quantity
1
2
3
4
5
6
7
8
9
10
Ballet Pack
$
10.00
Cellophane Pack with individually wrapped Oreos, pretzels, ,brownie bite, graham cracker topped with ballet slipper mold
Quantity
1
2
3
4
5
6
7
8
9
10
Variety Boxes
$
17.00
Gift box filled with Assorted Chocolate Covered Pretzels, Pecan Clusters, Almond Clusters, Oreo Cookies, Chocolate Chip Cookies, Graham Crackers, Peanut Butter Cookies, and Fleur de Lis Molds
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
Teacher Basket
$
23.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, and Rice Krispie Treat!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Teacher Pack
$
10.00
Teacher pack with individually wrapped Oreos, pretzels, brownie bite, and graham cracker with sugar apple layon
Quantity
1
2
3
4
5
6
7
8
9
10
Teacher 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
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
Chocolate Covered Strawberries
$
13.00
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
$
13.00
12 strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
$
25.00
Item subtotal:
$
0.00
Thank you Basket
$
25.00
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
Birthday Basket
$
25.00
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
$
25.00
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
Fleur De Lis Baskets
$
30.00
This basket is a Metal Fleur de lis bucket filled with Assorted Chocolates. The basket includes Pretzel Rods, Assorted Chocolate Covered Cookies-Oreos, Peanut Butter, Chocolate Chip, Pecan Turtle, Brownie bite, chocolate S’mores, Marshmallows, Fleur de lis Chocolate Molds.
Quantity
1
2
3
4
5
Size
Large
Item subtotal:
$
0.00
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
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
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
Brownie Bite
$
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
Heavenly Hash
$
3.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
DarK
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
Graham Cracker
$
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
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
Sea Salt Caramels
$
3.75
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
Marshmallow
$
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
Chocolate Peanut Butter Cookies
$
5.00
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
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
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
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