Custom Cookie Request Form
Order Date
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Month
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Day
Year
Date
Type of Order
Pick-up -Churubusco, IN
Delivery (additional fee)
Delivery Date
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Month
-
Day
Year
Date
Delivery Time
Hour Minutes
AM
PM
AM/PM Option
Pick-up Date
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Month
-
Day
Year
Date
Pick-up Time
Hour Minutes
AM
PM
AM/PM Option
Customer Information
Customer's Name
First Name
Last Name
Customer's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Customer's Email
example@example.com
Would you like to be added to the newsletter list? (email)
Yes
No
Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Order Details
Flavor of Cookie
Vanilla
Chocolate
Raspberry Lemon
How many cookies would you like? Custom's start at $55/dozen
Budget friendly option that I recently added! You can add on a dozen 2 inch mini circle cookies that are iced in your theme colors for $25/dozen (no design) Would you be interested in that option? if so, how many would you like?
What is your event/occasion? What is your event theme and/or color scheme?
Optional: Have any inspiration photos? If so, upload them below!
Browse Files
Drag and drop files here
Choose a file
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of
Please describe the design you are hoping to achieve, any names/dates you would like me to add, and anything else you would like me to include
How did you hear about me?
Reminders
Allergens: these cookies are handmade in my home. I do have a serv-safe certificate and abide by food safety rules. However, my kitchen is not inspected by the health department. It is not a Gluten-free home.
Orders are confirmed upon receipt of payment.
You'll get a confirmation email and pickup/delivery will be confirmed a few days before the order is due.
After completing this form, you'll receive an email with the quote attached through Shopify within 24-48 hours, Monday-Friday. You can pay via credit card, or venmo as well.
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