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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?

Q8

When will you like your order?

Q9

PICK YOUR FLAVORS: 1 Flavor per 3 Donuts (you may pick 2 of the same flavors)*

Q10

Method of Payment*

Q11

How would you like us to communicate with you?

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? *

Q13

Do you have any additional information that I should know? (usernames, phone numbers, or e-mail to request payment automatically)