Hayley’s Healthy Bakery Order Form

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Order Type

Preferred Pickup Date

Date

Hour MinutesAM/PM Option

My dietary restrictions are

Special Instructions (optional)

My Products

Cookies

Gluten Free Chocolate Chip Cookie

Gluten Free only chocolate chip cookie!

$12.00 Quantity

Gluten Free Chocolate Chip Cannoli Cookie Cups

Homemade Chocolate Chip Cookie Cups with homemade cannoli filling

$30.00 Quantity

Gluten Free & Dairy Free Chocolate Chip Cookies

Freshly baked chocolate chip cookies made with dairy free chocolate chips and dairy free butter

$16.00 Quantity

Cakes

Gluten Free & Dairy Free Chocolate Bundt Cake

Freshly baked gluten and dairy free chocolate bundt cake. Made with dairy free chocolate chips, dairy free sour cream, and coconut cream for the ganache. Serves 10-12 people.

$65.00 Quantity

Gluten Free Chocolate Bundt Cake

Gluten Free Chocolate Bundt Cake made with gluten free flour

$50.00

Gluten Free & Dairy Free Mini Bundt Cakes

Freshly baked Mini Chocolate Bundt Cakes made with gluten free and dairy free ingredients.

$24.00 Quantity

Gluten Free Mini Chocolate Bundt Cakes

$21.00 Quantity

Dog Treats

Gluten Free & Dairy Free Dog Treats

Sensitive Stomach Friendly Dog Treats

Ingredients: Oat Flour, Organic Pumpkin, Egg

$6.00 Quantity

Total

Credit Card

I understand that any bakery order takes 24-48 hours at minimum to complete.