Order Form

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Order Form

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Spring & Easter Designs

Wildflower 12 Piece $50

Breakable Chocolate House $55

Lavender/Butterfly 12 Piece $50

Breakable Chocolate Heart $45

Easter 12 Piece $50

Happy Easter Combo Box $80

Full Name *

What would you like to order? Select all that apply.

MAIN MENU

12 Piece Box (4 Flavors) $40

9 Piece Box (3 Flavors) $35

6 Piece Box (2 Flavors) $30

Party Tray 20 Pieces (5 Flavors) $60

Caramel Apples $7 (Minimum of 2 per Order)

Breakable Heart $40

Breakable Heart Combo Box (9 Strawberries) $70 - Lettering not included

Gamer Combo Box $50

Cheesecake Waffle Cone $9

Dipped Oreos 6 for $12

Jumbo Rice Krispie Treats $5ea

Strawberry Bouquet (Your choice of flowers) $75

Small Flower Tower (12 Berries) $100

Large Flower Tower (24 Berries) $175

Select a date for your order

*

MM

/

DD

/

YYYY

Phone Number *

Please select one Minimum $30 for delivery *

Delivery

Pick Up (Our Office Address: 2055 S Oneida Street, Denver CO 80224)

What address would you like your order delivered to? Leave blank if pick up was selected.

What is your preferred time for delivery/pickup?

10AM-12PM

12PM-2PM

2PM-4PM

4PM-6PM

Anytime

Choose Your Flavors (Only applies if you're creating your own box)

Milk Chocolate

White Chocolate

Semi-Sweet Chocolate (Recommended)

Dark Chocolate

Colored Chocolate (Pink, Yellow, Lilac, Blue etc.) *We can do almost ANY color

Specialties (Strawberry Shortcake, Cookies and Cream, Coconut, Salted Caramel etc.)

Cereal Toppings (Cinnamon Toast Crunch, Fruity Pebbles, Cap'n Crunch etc.)

Candy Bar (Snickers, Kit-Kat, Twix etc.)

Vegan Chocolate

Would you like to customize your order? "Happy Birthday, I love you" (Additional fee of $5-$10)

Do you have any additional comments? (Allergies, Delivery Requests, Large Order Request, etc.)

How would you like to pay? *

Venmo (Preferred)

Cashapp

Apple Pay

Credit/Debit (Additional 3% Processing Fee)

This form does NOT confirm your order. You will receive a phone call within the next 24-48 hours to confirm the details of your order. All orders MUST be placed at least 48 hours before the desired pickup/delivery date. If you have any questions please call us at (917) 650 2403. Thank you for ordering from Dipped in Denver!

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