Order Form
VENMO or CASH only please!
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Products Available
Categories:
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Mild
$
4.00
Quantity
Price
8 oz
1
2
3
4
5
6
7
8
9
10
$
4.00
16 oz
1
2
3
4
5
6
7
8
9
10
$
8.00
32 oz
1
2
3
4
5
6
7
8
9
10
$
15.00
Item subtotal:
$
0.00
Medium
$
4.00
Ingredients will be written here.
Quantity
Price
8 oz
1
2
3
4
5
6
7
8
9
10
$
4.00
16 oz
1
2
3
4
5
6
7
8
9
10
$
8.00
32 oz
1
2
3
4
5
6
7
8
9
10
$
15.00
Item subtotal:
$
0.00
Hot
$
4.00
Ingredients will be written here.
Quantity
Price
8 oz
1
2
3
4
5
6
7
8
9
10
$
4.00
16 oz
1
2
3
4
5
6
7
8
9
10
$
8.00
32 oz
1
2
3
4
5
6
7
8
9
10
$
15.00
Extra Hot
$
4.00
Ingredients will be written here.
Quantity
Price
8 oz
1
2
3
4
5
6
7
8
9
10
$
4.00
16 oz
1
2
3
4
5
6
7
8
9
10
$
8.00
32 oz
1
2
3
4
5
6
7
8
9
10
$
15.00
Item subtotal:
$
0.00
Mango Habanero
$
4.00
Quantity
Price
8 oz
1
2
3
4
5
6
7
8
9
10
$
4.00
16 oz
1
2
3
4
5
6
7
8
9
10
$
8.00
32 oz
1
2
3
4
5
6
7
8
9
10
$
15.00
Item subtotal:
$
0.00
Total
$
0.00
Payment is due at time of pick up or drop off. CASH or Venmo (@David-paul-163) Last 4 of phone # is 7515 **********I AM TAKING WEEKLY ORDERS, ALL ORDERS WILL BE READY FRIDAY OF SAID WEEK**********
Would you like us to drop off to your residence?
Yes, I agree to $5.00 delivery fee
I’ll come get mine
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9
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11
12
:
Hour
00
10
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40
50
Minutes
AM
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AM/PM Option
Until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Additional Notes
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