Custom Cookie Request Form
Order Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Order
Pick-up
Delivery
Delivery Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Delivery Time
Hour Minutes
AM
PM
AM/PM Option
Pick-up Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pick-up Time
Hour Minutes
AM
PM
AM/PM Option
Customer Information
Customer's Name
First Name
Last Name
Customer's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Customer's Email
example@example.com
For deliveries, where do you want to send the cookies? (Shipping Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Order Details
Flavor of Cookie
Vanilla
Almond
Chocolate Chip
Double Chocolate Chip
Walnut Chocolate Chip
Oatmeal Raisin
Preferred icing
Vanilla
Almond
Buttercream
Fondant
Add-ons
Air Brushing
Edible Glitter
Decorations
Sprinkles
Sugar pearls
Writing
How many boxes of cookies you would like to order? Each box contains 12 cookies.
How do you like the cookies to be packed?
Boxed
Paperbag
Heart-shaped box
Other
Would you like to put ribbon in the package?
Yes
No
What is your preferred color or colors?
Gold
Red
Blue
Green
Yellow
Orange
White
What kind of shape you would like the cookie to be? Describe it here as detailed as possible.
Optional: Upload a picture of the shape you would like the cookie to become?
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have any special instructions?
Reminders
Your order will be processed and completed within 7-10 business days.
Shipping is available. Additional 2-3 working days will be added.
You'll get a confirmation email and SMS when it is available for pick-up or when it will be delivered.
After completing this form, you'll receive an email for more details about your order. We'll also call you within 1-2 days to confirm your order.
Submit
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