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Custom Cake Template 2 -Form Fill
Section One
Q1
Your Name*
First
Q2
Your Name*
Last Name Initial
Q3
Phone Number*
Phone Number
Q4
Your E-mail*
Q5
Event Date (estimated date)*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Q6
Event Date (estimated date)*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Q7
Event Date (estimated date)*
Year
2040
2039
2038
2037
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
Q8
Event Time
Hour
1
2
3
4
5
6
7
8
9
10
11
12
Q9
Event Time
Minutes
00
10
20
30
40
50
Q10
Event Time
AM/PM Option
AM
PM
Q11
Whats the Occasion?*
Just Because
Birthday
Wedding
Baby Shower
Pastor/Clergy Appreciation
Anniversary
Corporate
Other
Q12
Number of Servings*
Q13
Size of Cake?
Q14
APPROXIMATE BUDGET
Q15
Event Theme (if unsure please type n/s)*
Q16
Is it ok for us to add additional designs and/or make changes to your order based on your theme?*
Yes
No
Q17
Would you like any treats added to your order? (Treats packages are available)
Yes
No
Q18
Treats ( Sold by the Dozen)
Candy Popcorn
Mini Cupcakes
Standard Size Cupcakes
Chocolate Covered Strawberries
Chocolate Covered Oreos
Cakesicle
Chocolate Covered Pretzel Sticks
Chocolate Covered Rice Krispies
Q19
Will you require a Cake Tasting/Sample Box? (Starts at $25)
Yes
No
Q20
Will you need your cake delivered? (Delivery fee starts at $60)
Yes
No
Q21
Delivery Address ( If Applicable )
Q22
Please list any and all allergies. (if none type N)*
Q23
Add image
Q24
Please Provide any Additional Information
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