Brie Mine Bham General Order Form

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Please answer the questions below to start the ordering process. Once your order has been confirmed, you will be directed to submit payment. All orders are tentative until they have been approved and payment received!

Full Name: (first/last) *

Email address: *

Phone number: *

What item would you like to order? *

Charcuterie platter: feeds 10-12 ($180)

Candy box ($25)

Custom item (charcuterie cups or cones, etc- price TBD based on order)

Smores box ($30)

Charcuterie box: 2-3ppl ($45)

Individual charcuterie box ($18, minimum order of 2)

Charcuterie platter: feeds 6-8 ($115)

Charcuterie box: feeds 4-6 ($75)

Extra crackers ($5)

Required

What date are you ordering for? *

YYYY

Will this item be pickup or delivery? *

Pick-up (Hoover, AL area)

Delivery (distance based fee for delivery $3/mile from 35226 zip code)

For delivery, please enter full address. (If pickup, just put N/A) *

Desired pickup/delivery time: *

Any food restrictions or allergies?

Yes (if yes, please detail below)

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Food Allergies/restrictions:

For charcuterie: Typical cheese selections are listed below. All boxes are curated to provide the best flavor mix based on local availability. Soft cheeses: brie, goat cheese, blue cheese. Hard cheese: gouda, asiago, aged cheddar, manchego, parmesan. Are there any of these you do NOT want in your box?

Is this for a special event (birthday, etc?) If yes, please describe below.

Any other special requests? (no olives, meatless, add macarons, etc)

If this order is a gift and you would like a note attached, please type what you’d like the note to say:

If this is a request for a custom item (charcuterie cups, cones, or large event) please describe your request below.

Important Reminder: all orders are considered tentative until approved based on availability. Once order has been approved, you will be sent instructions for payment. All orders are subjected to 4% sales tax.

All orders requested for 24 hour (or less) notice may be subjected to a rush order fee

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