Birthday Blessings Initiative Application
For children 12 or younger located in Wichita, KS
Customer Details
Your Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Phone Number
xxx-xxx-xxxx
Email
*
example@example.com
Birthday girl/boy Name
*
First Name
Last Name
Age Turning
1-12
Age Turning
1-12
Date for Pickup
-
Month
-
Day
Year
Date
Date for Pick Up
mm/dd/yyyy
Choose:
*
6" Cake 3-Layers
8" Cake 2-Layers
2 Dozen Cupcakes
Cake Flavor: (Frosting will be vanilla buttercream)
*
Chocolate
Vanilla
Strawberry
Cake Design:
*
Provide a description of the design, decorations, theme and/or colors you would like included on the cake as well as if you would like the name/age to be included.
Additional Information
PICK UP ONLY: Must be able to pick up near 13th and Maize the day of the order.
48-hour notice required to cancel/reschedule.
Orders are not garunteed and will be selected randomly as I have availability.
You will be contacted at least 2 week prior to your selected pick up date to confirm the order.
Please send any inspiration photos of cake designs to
mariah4998@gmail.com
.
Submit
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