FOURTH OF JULY ORDER FORM

Please Select Item and Quantity:

	Fireworks Cupcakes - $4
	Bento Mini Flag Cake - $25
	Single Layer Flag Cake - $45
	Blueberry Cheesecake - $45
	Assorted Mini Fruit Tarts - $5

Please Select Item and Quantity:

	Fireworks Cupcakes - $4
	Bento Mini Flag Cake - $25
	Single Layer Flag Cake - $45
	Blueberry Cheesecake - $45
	Assorted Mini Fruit Tarts - $5

If you Choose a Cake or Cupcakes, Please Select Flavor:

Vanilla

Chocolate

Red Velvet (cupcakes only)

Assorted

Select Cupcake Toppers:

Firecrackers

Flags

Assorted

Add On: Beverages

	DIY Patriotic Sangria - $45
	Half Bottle Rose - $19

Any specific requests or notes for the baker?

FOOD + FLOWERS

Pre-Order Flowers!

All flowers are designer choice and hand picked from the local markets and growers that we work with.

Bouquet Options:

Small Bouquet - $65

Medium Bouquet - $95

Large Bouquet - $125

Vase Arrangements:

Small Vase - $85

Medium Vase - $125

Large Vase - $200

Pleas Select Details:

Festive 4th of July Mixed Flowers

Seasonal Garden Mixed Flowers

Wrapped as a Gift

Boxed for Car/Delivery

Need a Gift Card? Message:

PURCHASER BILLING & CONTACT INFORMATION

Purchaser First Name *

Purchaser Last Name *

Purchaser Zip Code *

Purchaser Phone Number *

Purchaser Email Address *

PICK UP OR DELIVERY?

OPTIONS ARE: *

PICK UP AT THE STORE - NO CHARGE

LOCAL DELIVERY $15 (North Salem area)

REGIONAL DELIVERY $25 (12 miles +)

SPECIAL INSTRUCTIONS?

Local Pick Up or Delivery Date: +

Local Pick Up or Delivery Time:

Between 9am - 12pm

Between 12pm - 2pm

After 2pm

Extra Notes: Call Ahead? Leave at the Front Door? Leave in the Heated Garage?

Current Total (tax will be added at time of purchase of 8.375%):

$0.00

Billing Information: We charge a 4% processing fee along with Westchester County 8.375%. tax.

Card Number: *

Credit Card Type *

Expiration Date (mm/yy) *

CVV: *

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