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Bakers Order Template 4 -Form Fill
Section One
Q1
Name*
Q2
E-mail*
Q3
Contact Number*
Phone Number
Q4
Date Required*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Q5
Date Required*
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
Q6
Date Required*
Year
2018
2017
2016
2015
2014
Q7
Pick up/Delivery*
Pick up
Delivery
Q8
Delivery Address
Q9
Time*
Hour
1
2
3
4
5
6
7
8
9
10
11
12
Q10
Time*
Minutes
00
10
20
30
40
50
Q11
Time*
AM/PM Option
AM
PM
Q12
Occassion*
NULL
Q13
No. of Servings*
Q14
Cupcakes
Q15
Cookies
Q16
Individual Packaging
Yes
No
Q17
Number of Tiers*
1
2
3
4
5
6
Q18
Additional Info
Q19
Add Image
Q20
Icing*
Fresh Cream
Buttercream
Fondant
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