Lolli's Chocolates of Lafayette
FALL ORDER FORM
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First Name
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Email
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example@example.com
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My Products
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Halloween Chocolate Covered Strawberries
$24.00
$
24.00
Chocolate Covered Strawberries are offered in White, Milk, or Dark chocolate.
Size
Flavor
Quantity
6 strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
12 strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Chocolate Covered Strawberries
$13.00
$
13.00
Chocolate Covered Strawberries are offered in White, Milk, or Dark chocolate.
Size
Flavor
Quantity
Price
6 strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
$13.00
$
13.00
12 strawberries
Milk
White
Dark
Milk/White
Milk/Dark
Mixed (milk, white, dark)
1
2
3
4
5
6
7
8
9
10
$25.00
$
25.00
Item subtotal:
$0.00
$
0.00
Variety Boxes
$18.00
$
18.00
Gift box filled with Assorted Chocolate Covered Pretzels, Pecan Clusters, Almond Clusters, Oreo Cookies, Chocolate Chip Cookies, Graham Crackers, Peanut Butter Cookies, and Fleur de Lis Molds
Size
Quantity
Price
Small
1
2
3
4
5
6
7
8
9
10
$18.00
$
18.00
Large
1
2
3
4
5
6
7
8
9
10
$25.00
$
25.00
50 Piece Variety Box
$38.00
$
38.00
Gift box filled with Assorted Chocolate Covered Pretzels, Pecan Clusters, Almond Clusters, Oreo Cookies, Chocolate Chip Cookies, Graham Crackers, Marshmallows, Peanut Butter Cookies, and Fleur de Lis Molds
Size
Quantity
Price
50 piece
1
2
3
4
5
6
7
8
9
10
$38.00
$
38.00
Trick or Treat basket
$16.99
$
16.99
A Halloween basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Marshmallows, Pretzels and a brownie bite!,
Quantity
0
1
2
3
4
5
6
7
8
9
10
Halloween Basket
$16.99
$
16.99
A Halloween basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Marshmallows, Pretzels and a brownie bite!,
Quantity
0
1
2
3
4
5
6
7
8
9
10
Chocolate Caramel Apples
$8.00
$
8.00
Flavor
Quantity
Reg/Fancy
Price
White
0
1
2
3
4
5
6
7
8
9
10
Regular
Fancy(with pecans)
$8.00
$
8.00
Milk
0
1
2
3
4
5
6
7
8
9
10
Regular
Fancy(with pecans)
$8.00
$
8.00
Boo pack
$10.00
$
10.00
Chocolate Covered Pretzels, Oreos, Graham Cracker, & Brownie bite wrapped in a cellophane bag
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Birthday Basket
$25.00
$
25.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, brownie bite and pecan turtle!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Thank you Basket
$25.00
$
25.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, brownie bite and pecan turtle!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Get Well Soon Basket
$25.00
$
25.00
A basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Pretzels, Marshmallows, brownie bite and pecan turtle!
Quantity
0
1
2
3
4
5
6
7
8
9
10
Brownie Bite
$2.00
$
2.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Rice Krispie Treats
$2.00
$
2.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
S'more
$2.25
$
2.25
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Pecan Caramel Turtles
$4.00
$
4.00
2pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Chocolate Covered Oreos
$4.00
$
4.00
4pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Chocolate Covered Pretzels
$4.00
$
4.00
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Caramel Pecan Pretzel Sticks
$5.00
$
5.00
2pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Caramel Pretzel Sticks
$4.00
$
4.00
2 pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Graham Cracker
$2.00
$
2.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Chocolate Peanut Butter Cookies
$5.00
$
5.00
4 pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Milk/White
1
2
3
4
5
6
7
8
9
10
Sea Salt Caramels
$4.00
$
4.00
2pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Heavenly Hash
$3.00
$
3.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
White
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Fall Hot Chocolate Bomb
$5.00
$
5.00
1pk
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
Bride and Groom Oreo Set
$4.00
$
4.00
Bride and Groom Oreo set wrapped in cellophane and a bow
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Chocolate Diamond Ring
$1.50
$
1.50
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Email
example@example.com
Payment Methods
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