Cookies -N- Creations Custom Cookie Order Request

Name *
Email Address *
Phone Number *

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City and State
Date You Need Cookies For: *
Number of Cookies Needed (minimum of 15): *
Cookie Theme/Occasion:
Cookie Cutter/Shape Preference:
(Please let us know if we can assist you in choosing the perfect shape.)
Icing Color Choices
Cookie Extras $.10 per cookie
 Shimmer Dust 
 Sprinkles 
 Sanding Sugar 
 NO EXTRAS 
Please check the following options for your cookie order.
 Individually Packaged In Cellophane/Ribbon Tie $.30 each 
 OR Cookie Platter (cookies placed on platter/wrapped in cellophane) 
 Personalized Cookie Tag $.50 each 
 Cookie Pop $.25 each 
 Cookie Bouquet $5.00 additional 
 Lu Luz- 20 Bite Sized Cookies $15.00 *minimum of 3 batches when ordered without full size cookie order) 
NEW! EXTRAS:
 Cake Balls (24) 
 Ice Cream Cone Cake Balls (12) 
 Choco-Lota Cookies (12) 
 Choco-Lota Cookies (24 minis) 
Special Requests/Instructions:
Are you a returning customer?
 Yes 
 No 
How did you hear about us?
Can we add you to our mailing list?
(We DO NOT share our customer's information.)
 Yes, please add me! 
 Not at this time! 
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