Request edit access
Realtor Order Form
This order form is strictly for realtors ordering for special work related events and client gifts. 

Please fill out the form below to SUBMIT YOUR REQUEST.

Requests must be submitted 72 hours in advance.
---Additional $15 Rush-fee option available for orders placed with-in 24 hours, please contact us to confirm rush option availability.

• Submissions will not be honored as an order

• Orders are confirmed only once payment is received.

We will respond within 12-24 hours of submission during business hours.
---Business Hours: Monday - Friday 8am - 6pm

Sign in to Google to save your progress. Learn more
Welcome realtors!
DELIVERY & PICKUP DETAILS
PICKUP
The Dancer's Pantry Shoppe
11226 Gold Express Drive, Gold River CA 95670

DELIVERY:
Available: Monday & Wednesday 
Delivery NOT available: Tuesday & Thursday
Limited: Friday, Saturday, Sunday


○ Additional $25 fee for deliveries to Folsom, Downtown, Midtown, Fair Oaks, Citrus Heights
○ Additional $25 fee for deliveries to Roseville, Granite Bay, Elk Grove, Rocklin
○ Orders must be placed 72 hours prior to delivery (or inquire about rush-fee)

First and Last name *
Company Name: *
Phone Number *
Email *
Order date:  *
MM
/
DD
/
YYYY
Time-frame needed for delivery.
-Please note: delivery options are limited. 
*
Time
:
Once your submission is approved, how would you like to pay? *
Required
Discount code for free delivery on orders of $100.00:
Would you like a gift message attached to the order?
Clear selection
If you answered "Yes" , please type in your gift message here.
*Please keep all gift messages short. 
Charcuterie Cups and Cones:
Charcuterie Cups and Cones:
Clear selection
Full-Size Box
Full-size box:
Clear selection
Medium Board:
Medium Board. Crackers NOT included:
Clear selection
Large Board:
Large Board. Crackers NOT included.
Clear selection
Grazing Tables:
Submit an inquiry here:
Gluten Free? *
Required
Allergies? *
Required
Please enter allergies here if you have any.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy