Breakable Hearts Order Form
Thank you for choosing Mya's Sweets and Treats for your special occasion! Breakable Hearts can be perfect for any special occasion..anniversaries, birthdays, engagements or simple gifts! They can be decorated to fit any occasion!

Before you place your order, please read each question carefully and try to answer them to the best of your ability. Please provide as much detail as possible. (Color/theme/etc.)

Each breakable heart comes with one mallet
Fillers: You can fill the heart with what ever you like! Money, gift cards, notes, etc. (Need to be supplied by you)

- Extra Designs/Add Ons Not Listed: Prices may increase depending on your desired design/theme
- Pick-Up and Delivery available depending on location (Delivery free under five miles, 5-15 miles $5 charge)

Thank you so much for supporting Mya's Sweets and Treats!

After you fill out this order request, I will contact you to go over details, if needed, as well as pickup and/or drop-off confirmation.
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Terms & Conditions: This order form does NOT secure your order. This gives me a chance to look at and review your order while checking availability, time, and supplies. Once you have received an email, order has been secured. *
Required
Do you need delivery? *
First and Last Name *
Phone Number *
Email Address *
Desired Pick-Up/Delivery Date *
MM
/
DD
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YYYY
Desired Pick-Up/Delivery Time
Time
:
Select Your Breakable Heart Flavor *
Add-Ons *
Required
Preferred contact method
Payment
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Please provide any additional information for order / order theme if needed. Also please clarify here how many will be purchased.
Please type any questions or comments you have about your order!
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