Hookah Order Form
Available After: 7 PM (Thurs–Sat) & 1 PM (Sun)
LAST ORDER IS 1 HOUR BEFORE CLOSING
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Hookah Flavor (Base Price: $40) FLAVOR CHANGE REQUIRED AFTER 2 HOURS
*
Please Select
MS BOOKIE – Blueberry Mint
KELLY – Watermelon, Grapes & Mint
PINK PARADISE – Strawberry Lemon Mint
BELLA – Strawberries with Cream
BIG MAMA – Cinnamon, Vanilla & Peach (+$10, includes almond milk)
JUNKY – Grapes with Mint
GINA FACE – Peach, Kiwi & Mint
Flavor Change ($15)
NEED COALS OR ASSISTANCE? ($0)
HOOKAH PROCESS WILL START ONCE PAYMENT IS RECEIVED
Add-ons (Select any that apply)
2 CANDY TIPS ($5)
TWO HOSES ($5)
Almond Milk In Place Of Water ($10)
Total Cost
Payment Method
*
Please Select
Cash
Zelle: 412-709-0104
Cash App: $pipedreams412
Apple Pay: 412-709-0104
ASSISTANCE ONLY ($0)
PLEASE SEND PAYMENT AS SOON AS YOU PLACE YOUR ORDER
Describe where you're seated
*
Examples: lady in blue sitting by the gaming machine; or couple sitting in the back room by the window
Special Requests
Thank you for supporting small & sweet!
Submit Order
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