DQ Cake Order Form Palmetto Bay

Custom Ice Cream Cake Order Form

All orders require at least 48 hours notice and must be paid in full at the time of ordering

Less than 48 hours notice: $15 rush fee

Less than 24 hours notice/same day: $25 rush fee
Full Name*
Todays datetime*

MonthDayYear
Date
Phone number*
Format: (000) 000-0000.
Date/time due*

MonthDayYear
Date
Hour MinutesAM/PM Option
Which type of cake?

(Select one option)
Vanilla/VanillaVanilla/ChocolateChocolate/Chocolate
OreoStrawberry cheesecakeChoco Brownie ExtremeM&MOther
Mini/6" round.....serves4-8 people8"round.....serves 8-12 people10"round.....serves 12-16 peopleSheet/11"x14".....serves 20-25 peopleSweetheart.....serves 2-4 peopleHeart.....serves 11-12 people
Extra FudgeExtra CrunchEdible ImageExtra Toppings
Decorating instructions and requests Icing border color written message sprinkles etc
Signature*

Clear
Dairy Queen at Palmetto Bay (305) 252-2692 14271 South Dixie Hwy, Miami, FL 33176
Should be Empty:

Which type of cake?