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Donut Order -Form Fill
Section One
Q1
PICK UP CURBSIDE
Q2
Name*
First Name
Q3
Name*
Last Name
Q4
Phone Number
Phone Number
Q5
Email*
Q6
Who referred you to these yummy donuts!?
Q7
How Many Donuts Would you like?
Thoughtful Three (3) $8.00
Sweet Six (6) $15.00
Noble Nine (9) $22.00
True Twelve (12) $29.00
Q8
When will you like your order?
PICK UP: Friday (10:00am-5:00pm)
PICK UP: Saturday (11:00am-4:00pm)
Q9
PICK YOUR FLAVORS: 1 Flavor per 3 Donuts (you may pick 2 of the same flavors)*
Thoughtful Three$8.00
Sweet Six$15.00
Noble Nine$22.00
True Twelve$29.00
Would you like to add a Protein Iced Coffee?$5.00
Q10
Method of Payment*
CashApp
Paypal
Venmo
Zelle
Q11
How would you like us to communicate with you?
Text me!
Request payment & follow up with text
Request payment & follow up with e-mail
Call me!
Q12
Donut flavors are based on order placements (first come, first serve). If there is an outage, I will reach out to you to communicate with you on what donut flavors are available. Is this okay? *
Yes! No Problem
Can we reschedule for the following week?
Q13
Do you have any additional information that I should know? (usernames, phone numbers, or e-mail to request payment automatically)
Dear user, please upgrade your plan to access this feature
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