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: *

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- $3/mile from 35211 zip code)

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

What item would you like to order? *

4th of July Smith Lake charcuterie box 2-3ppl

4th of July Smith Lake charcuterie board 6-8ppl

Charcuterie box: feeds 2-3 ($45)

Charcuterie box: feeds 4-6 ($75)

Charcuterie platter: feeds 6-8 ($100)

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)

Required

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, 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. All orders are subjected to 4% sales tax.

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