Name *

First Name

Last Name

Phone *

(###)

###

####

Date needed for pick up *

Pick up is in Brookhaven 30319 and is anytime after 10am that day

MM

DD

YYYY

Time requested for pick up *

Pick up is anytime after 10am on your requested date. Due to the nature of buttercream frosting, we are unable to leave the cookie cakes on our porch until you arrive. Please indicate what time works for you to pick up!

Hour

Minute

Second

AM PM

Cookie Cake Options *

*CHOOSE ONE*

Chocolate Chip Cookie Cake with smooth buttercream icing and sprinkles. No personalization. $40

Chocolate Chip Cookie Cake with smooth buttercream icing, sprinkles, 6 mini cookies and 1 large cookie for the middle of the cake. $60

Please read and agree to the policies below: *

•Submission of this form IS NOT CONSIDERED AN ORDER. This is only an ORDER REQUEST. We will email you within 48 hours to confirm your order. • All orders must be picked up in Brookhaven, 30319 zip code. Address will be given to you after payment is made. Delivery and shipping is not an option. • You understand that baked goods are made in a home kitchen and may contain common allergens such as eggs, wheat and nut products. • If you do not get a response from me in a timely manner, please check your spam folder.

I have read the above statements and agree to the policies.