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TBPS Order Form
The Bread Pudding Specialist
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What is your name?
*
Your answer
When would you like your order?
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Choose
27May15
10Jun15
24Jun15
15Jul15
29Jul15
Promotion Code
If you have a promotion code, enter it here
Your answer
Base Order
Provide the quantities for the bases listed below
Non-Alcoholic (PLAIN)
Your answer
WHITE RUM
Your answer
RUM CREAM
Your answer
Toppings Order
Provide the quantities for the toppings listed below
Caramel
Your answer
Fruit Preserve
Your answer
Marshmallow
Your answer
Milk Chocolate
Your answer
Mint Marshmallow
Your answer
Peanut Butter
Your answer
Peanut Butter & Jelly
Your answer
S'mores
Your answer
Speciality Toppings
Provide the quantities for the toppings listed below
Brownie Tower
Based on availability
Your answer
Caramel Apple
Based on availability
Your answer
Fresh Strawberries
Based on availability
Your answer
Special Events and/or Special Orders
Tell us about your order for an upcoming event. Special Orders must be in batches of 12.
What is your special order?
Special Event
Sugar Free (Splenda Substitute)
Christmas Tower
Be My Valentine
Mother's Day Basket
Father's Day Special
Provide a description of your Special Order
How many do you need? When do you need it by? For the special events, any particular toppings?
Your answer
General
Where should we deliver your order?
Pick up at Healthy Bites
UWI WJC
Other:
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How would you like to be contacted?
You will be contacted via e-mail. If you would like any additional options, please check your most appropriate method
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BBM
Digicel
Facebook
Flow
Google Hangouts
LIME Cell
LIME Landline
Skype
WhatsApp
Please provide your contact details
E-mail address and at least your preferred contact method
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