Washtenaw Dairy Donut Pre-Order Form
Thank you for your interest in Washtenaw Dairy donuts!

*** This form may be used to pre-order donuts with at least 12 hours advance notice. For orders needed in less than 12 hours, please call the dairy at 734-662-3244 and leave your order with a staff member or on the answering machine. Thank you! ***

Our regular donut varieties are:
Plain
Cinnamon/Sugar
Vanilla Frosted
Chocolate Frosted
Maple Frosted
Vanilla Frosted with Coconut
Vanilla Frosted with Sprinkles
Maple Frosted with Peanuts

For requests for different toppings/sprinkle colors/specialty donut flavors please call the dairy or e-mail washtenawdairymanager@gmail.com.

Donuts cost $8/dozen if ordered at least a day beforehand, or $9 dozen on a walk in basis.

Email address *
What is your phone number? *
Your answer
What is your name? *
Your answer
What day would you like to pick up your donuts? (12 hours advance notice please!) *
MM
/
DD
/
YYYY
What time would you like to pick up your donuts? (at least 12 hours advance notice please!) *
Time
:
Would you like your donut order billed to a UM short code? If so please record the short code number and full UM department name below. **PLEASE NOTE: BOTH NAME/NUMBER ARE REQUIRED FOR BILLING! :) **
Your answer
How many donuts would you like and what varieties would you like? (You may also ask for an assortment.) *
Your answer
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