Valentines Day Order Form Name * First Name Last Name Email * May We Add You To Our Email List? Yes No Phone * (###) ### #### Pick Up Date February 7 (Open 9 - 6) February 8 (Open 9 - 3) February 10 (Open 9 - 6) February 11 (Open 9 - 6) February 12 (Open 9 - 6) February 13 (Open 9 - 6) February 14 (Open 9 - 6) Pick Up Time? Decorated Heart Cake $11.99 Chocolate Only 1 Cake 2 Cakes 3 Cakes Icing Indicate if you want Buttercream or Peanutbutter Customize Your Cake Below Examples: Happy Valentines Day Stacey, Love You Mark, Deeks - You're A Good Boy Customize If ordering more than one cake, specify what cake gets what wording. Valentine Sandtart Cookies $3.99 - 6 pack 1 Pack 2 Packs 3 Packs 4 Packs Homemade Thumbprint Cookies $5.99 - 10ct. pack 1 Pack 2 Packs 3 Packs 4 Packs Specify Flavor Red Raspberry, Cherry or Strawberry Chocolate Covered Strawberries $7.99 - 4 pack 1 Pack 2 Packs 3 Packs 4 Packs Gourmet Caramel Apples $7.99 each Assorted Gourmet Toppings 1 Apple 2 Apples 3 Apples 4 Apples Gourmet Chocolate Cupcakes $6.99 4 pack 2 Cupcakes With Peanut Butter Icing and 2 With Buttercream Icing. Both Have Assorted Gourmet Toppings 1 Pack 2 Packs 3 Packs 4 Packs Cup Cake Bouquet $6.99 (4 pack) 1 Pack 2 Packs 3 Packs 4 Packs Butter Cream Icing Peanut Butter Icing Please Note: If ordering more than one pack, specify icing below. Example: 4 Packs, 3 with Butter Cream Icing, 1 with Peanut Butter Icing. Mega Heart Chocolate Chip Cookie $11.99 1 2 3 4 Comments Regarding Your Order Thank you! Your Valentines Day order has been received. We will verify your order within 24 hours. If you do not hear from us, please call the market at 717-567-3539
