Order Form

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Order Form

Help me order for you

If you were a part of a party who was your host(ess)

First Name *

Last Name *

Street Address (with Apartment #) *

City *

State *

Zip *

Phone ( with area code) *

Type *

Email *

Birthday *

YYYY

Significant Others First Name

Significant Others Last Name

Does your significant other have a different address than you? If so please put their full address below with apartment #, City, State and zip code

Significant Other's Phone Number( with area code)

Type

Significant Other's Email

Significant Other's Birthday

YYYY

Anniversary

YYYY

Is it okay to contact you via text message, phone call,email, and snail mail. Text messages will be for things like order updates( This may include Facebook Messenger) and basic check-in, phone calls would also include this, email would include include forms and trimesterly newsletter however the forms are available on the website, snail mail would be for things like birthday and anniversary coupons.

Text

Phone

Mail

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