Brie Mine Bham General Order Form

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: *

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 within 15 miles of Birmingham- $2/mile from 35226 zip code)

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

What item would you like to order? *

Father's Day box 2-3ppl (customization not available)

Charcuterie box: feeds 2-3 ($45)

Charcuterie box: feeds 4-6 ($65)

Charcuterie platter: feeds 6-8 ($85)

Charcuterie platter: feeds 10-12 ($180)

Smores box ($35)

Candy box ($25)

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

Will this order be consumed day of pick-up, or the next day? (will impact cracker packaging) *

Day of pick up

Next day

Any food restrictions or allergies?

Yes (if yes, please detail below)

Clear selection

Food Allergies/restrictions:

For charcuterie: do you prefer a mostly sweet, savory, or mixed box?

Sweet

Savory

Sweet and savory

Clear selection

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, specialty cookie +$, etc)

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

Reminder: all orders are considered tentative until approved based on availability. Once order has been approved, you will be sent instructions for payment.

Submit

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