Cookie Order Request Form
Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact Number
*
Format: (000) 000-0000.
Date for Pickup or Delivery
*
-
Month
-
Day
Year
Date
Pick up/Delivery
*
Pick up
Delivery (Starting fee of $20. Local delivery only, no shipping available.)
How many cookies would you like?
*
Half Dozen (6)
Dozen (12)
18 cookies
Two Dozen (24)
More
Choose your flavors
*
Chocolate Chip
Double Chocolate Chip
Red Velvet
Oreo
Flavor Breakdown (Example: 3 Chocolate Chip + 3 Oreo)
*
Packaging
*
Standard bakery box
Gift packaging (+$3)
Special Requests
Add any notes or requests here.
Agreement
*
Agreement
*
Submit
Should be Empty: