Build Your Own Sip Delivery Order Form 🍋

Build Your Own Sip Delivery Order Form 🍋

Choose up to five lemonades, add flavors and toppings, then enter your delivery details for Wednesday or Sunday.
Customer Information
Full Name

First NameLast Name
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Build Your Drinks
How Many Drinks Are You Ordering?
$9 32 OZ Main Squeeze • $10 32 OZ Flavored Lemonade
Buy 3 or more drinks and receive FREE delivery. A $5 delivery fee applies to orders of 1 or 2 drinks.
Drink 1 Flavor
Drink 1 Flavor Preparation
Drink 1 Candy Topping
Drink 1 Special Instructions
Drink 2 Flavor
Drink 2 Flavor Preparation
Drink 2 Candy Topping
Drink 2 Special Instructions
Drink 3 Flavor
Drink 3 Flavor Preparation
Drink 3 Candy Topping
Drink 3 Special Instructions
Drink 4 Flavor
Drink 4 Flavor Preparation
Drink 4 Candy Topping
Drink 4 Special Instructions
Drink 5 Flavor
Drink 5 Flavor Preparation
Drink 5 Candy Topping
Drink 5 Special Instructions
Delivery Information
Delivery is available on Wednesdays and Sundays only.
Street Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Total Drinks Ordered
Estimated Order Total
This estimated total includes your lemonades, candy toppings, delivery fee, and optional tip. Approved special requests will be added to your confirmed final total.
Requested Delivery Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Requested Delivery Time
Delivery Instructions
Order Comments and Consent
Order Comments
Add an Optional Tip
Tips are optional and always appreciated. Enter any amount you would like to add.
Should be Empty:

Build Your Own Sip Delivery Order Form 🍋

Customer Information

Build Your Drinks

Delivery Information

Order Comments and Consent