Kline's Party Pack Order Form

PARTY PACK ORDER FORM

*Only available at CHESTERFIELD Kline's
Your Name*
Your E-mail*
example@example.com
Your Contact Number*

Area CodePhone Number
Pick-Up Date (Has to be at least THREE days from date of today)

MonthDayYear
Date
Please note: You will receive a confirmation email within 24 hours that will ask you a few additional questions and confirm your order. Order is NOT confirmed until you receive this email. If you do not respond within 24 hours the pick up date may not be available. NO CHARGE UNTIL PICK-UP.
Regular or Large Party Pack?*
Ice Cream Flavor 1*
Ice Cream Flavor 2*
Ice Cream Flavor 3*
Ice Cream Flavor 4 (Only for Large Party Pack)
Ice Cream Flavor 5 (Only for Large Party Pack)
Topping 1 *
Topping 2 *
Topping 3 *
Topping 4 *
Additional Info
Should be Empty:

PARTY PACK ORDER FORM