Custom Cupcake Order Form

Custom Cupcake Order Form

**Order form request MUST BE COMPLETED ENTIRELY! We will review your request and get in touch with you for pricing! YOUR ORDER IS NOT VALID UNTIL YOU SIGN AN AGREEMENT AND THE INITIAL DEPOSIT IS PAID!**
Choose Your Flavor(s)*

ChocolateWhiteRed VelvetStrawberryFunfettiSnickerdoodleLemon RaspberryLemon BlueberryBanana-Infused VanillaMaple FlavorGingerbreadApple SpicePumpkin SpiceCarrot
Make a Selection*

1 Dozen2 Dozen3 Dozen4 Dozen5 Dozen6 Dozen7 Dozen8 Dozen9 Dozen10 Dozen11 Dozen12 DozenOther
Choose a Filling (if desired)

White ButtercreamCream Cheese ButtercreamChocolate ButtercreamPeanut Butter ButtercreamOreo Cookie ButtercreamCotton Candy ButtercreamLemon-infused ButtercreamSalted Caramel ButtercreamCinnamon Spice ButtercreamPumpkin Spice ButtercreamMaple Flavor ButtercreamBrown Sugar ButtercreamSwiss MeringueStrawberry PreservesBlueberry PreservesRaspberry PreservesLemon CurdDark Chocolate GanacheOther
Choose the Frosting*

White ButtercreamChocolate ButtercreamPeanut Butter ButtercreamCream Cheese ButtercreamLemon-infused ButtercreamSalted Caramel ButtercreamOreo Cookie ButtercreamCotton Candy ButtercreamMaple Flavor ButtercreamBrown Sugar ButtercreamCinnamon Spice ButtercreamPumpkin Spice ButtercreamSwiss MeringueOther
Photo Ideas (As an artist, I do NOT exactly duplicate another artist's work!)

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Special Instructions/Requests (PLEASE be AS SPECIFIC as possible! Writing, special colors, etc)*
Name*

First NameLast Name
Email*
example@example.com
Phone number*
Customer's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PICK UP / DELIVERY - **PLEASE NOTE: Available Hours for PICKUP/DELIVERY are Monday, Tuesday, Wednesday, and Saturday from 10 a.m.-6:00 p.m. **Client MUST arrive PROMPTLY at scheduled pickup time!** *

PICKUP (3267 Peters Mountain Rd, Halifax PA 17032 - Calvary Fellowship Church parking lot)Delivery (If delivery is selected, YOU MUST SPECIFY THE DELIVERY ADDRESS BELOW!)
DELIVERY Address (if DELIVERY is requested)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date / Time for PICKUP or DELIVERY*

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty: