Lolli's Chocolates of Lafayette
Valentine's Day Order Form 2026
Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Appointment
*
My Products
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Happy Birthday Basket
$
25.00
A Happy Birthday basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, pecan caramel Turtles, brownie bite, Graham Crackers, Pretzels, Marshmallows, and Chocolate Molds!
Quantity
Type
Basket
Thank You Basket
$
25.00
Thank You basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, pecan caramel Turtles, brownie bite, Graham Crackers, Pretzels, Marshmallows, and Chocolate Molds!
Quantity
Type
Basket
Get Well Soon Basket
$
25.00
Get Well Soon basket with individually wrapped Chocolate Oreos, Peanut Butter Cookies, Chocolate Chip Cookies, pecan caramel Turtles, brownie bite, Graham Crackers, Pretzels, Marshmallows, and Chocolate Molds!
Quantity
Type
Basket
Variety Boxes for all occasions
$
18.00
White 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 chocolate molds
Size
Quantity
Price
Small 18 pieces
1
2
3
4
5
6
7
8
9
10
$
18.00
Medium 30 pieces
1
2
3
4
5
6
7
8
9
10
$
25.00
Large 50 pieces
1
2
3
4
5
6
7
8
9
10
$
38.00
Item subtotal:
$
0.00
Valentine’s Day Variety Boxes
$
18.00
Red Gift box filled with Assorted Chocolate Covered Pretzels, Pecan Clusters, Almond Clusters, Oreo Cookies, Chocolate Chip Cookies, Graham Crackers, Peanut Butter Cookies, and Heart Molds
Size
Quantity
Price
Small 18 pieces
1
2
3
4
5
6
7
8
9
10
$
18.00
Medium 30 pieces
1
2
3
4
5
6
7
8
9
10
$
25.00
Item subtotal:
$
0.00
Mardi Gras Chocolate Covered Pretzels
$
4.00
4 Pack of pretzel sticks decorated with purple, green and gold wrapped in cellophane and a bow.
Flavor
Quantity
MIlk
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
White
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
Milk/White
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
Dark
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
Item subtotal:
$
0.00
Mardi Gras Chocolate Covered Oreos
$
4.00
4pk of Oreos decorated with purple, green & gold wrapped in cellophane and a bow.
Flavor
Quantity
Milk
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
White
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
Dark
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
Milk/White
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
Item subtotal:
$
0.00
Mardi Gras Variety Pack
$
10.00
Variety pack includes wrapped Oreos, pretzels, brownie bite and graham cracker, and a solid chocolate Mardi Gras mold.
Quantity
1
2
3
4
5
6
7
8
9
10
Valentine Paperboard Basket
$
16.00
Baskets filled with individually wrapped assorted chocolates including Pretzels, Oreos, Peanut Butter Cookies, Graham Crackers, Chocolate Chip Cookies, Brownie Bite, and a Chocolate Heart!
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Gold Heart Basket
$
24.00
Basket includes Assorted Chocolate Covered Pretzels, Oreo Cookies, Peanut Butter Cookies, Chocolate Chip Cookies, Graham Crackers, Rice Krispie Treat, Caramel Pecan Turtle, Marshmallows, and a solid chocolate heart!
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Two Of a Kind Basket
$
27.00
A basket to share with your sweetheart includes two caramel pecan turtles, two packs of two chocolate covered oreos, two packs of two chocolate covered pretzels, two packs of two peanut butter cookies, two brownie bites, two s'mores and two solid chocolate hearts!
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Love Mug
$
20.00
Heart Mug includes chocolate covered pretzels, Oreos, peanut butter cookies, chocolate chip cookies, graham crackers, pecan caramel turtle a solid chocolate heart lollipop!
Quantity
1
Item subtotal:
$
0.00
Turtle Box
$
14.00
6 Caramel Pecan Turtles
Quantity
1
2
Flavors
Milk
Mixed
Teddy Bear with chocolate covered oreos
$
12.99
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Caramel Apple
$
8.00
Type
Quantity
Flavor
Price
Plain Chocolate Caramel Apple
1
2
3
4
5
6
7
8
9
10
Milk Chocolate Caramel Apple
White Chocolate Caramel Apple
$
8.00
Fancy Apple with Pecans
1
2
3
4
5
6
7
8
9
10
Milk Chocolate Caramel Apple
White Chocolate Caramel Apple
$
9.00
Item subtotal:
$
0.00
Love Variety Pack
$
10.00
Valentine's Day pack includes wrapped Oreos, pretzels, brownie bite and graham cracker, and a solid chocolate heart
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Covered Pretzels
$
4.00
4 Pack of pretzel sticks wrapped in cellophane and a bow.
Flavor
Quantity
MIlk
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
White
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
Milk/White
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
Dark
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
Item subtotal:
$
0.00
Caramel Pretzel Sticks
$
4.00
2 pk wrapped in cellophane and a bow
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
Item subtotal:
$
0.00
Chocolate Covered Oreos
$
4.00
4pk of Oreos wrapped in cellophane and a bow.
Flavor
Quantity
Milk
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
White
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
Dark
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
Milk/White
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
Item subtotal:
$
0.00
Chocolate Peanut Butter Cookies
$
5.00
4 pk wrapped in cellophane and a bow
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
Item subtotal:
$
0.00
Caramel Pecan Pretzel Sticks
$
5.00
2pk wrapped in cellophane and a bow
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
Item subtotal:
$
0.00
Brownie Bite
$
2.00
1pk of brownie bite wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
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
Dark
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
Item subtotal:
$
0.00
Rice Krispie Treats
$
2.00
1pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
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
Dark
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
Item subtotal:
$
0.00
Graham Cracker
$
2.00
1pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
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
Dark
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
Item subtotal:
$
0.00
Marshmallow
$
2.00
1pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
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
Dark
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
Item subtotal:
$
0.00
Heavenly Hash
$
3.00
1pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
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
Dark
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
Item subtotal:
$
0.00
S'more
$
2.25
1pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
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
Dark
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
Item subtotal:
$
0.00
Pecan Caramel Turtles
$
4.00
2pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
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
White
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
LOVE Bomb
$
5.00
Valentine’s Hot Chocolate Bomb! (Milk Chocolate)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Sea Salt Caramels
$
4.00
2pk wrapped in cellophane and a bow
Flavor
Quantity
Milk
1
2
3
4
5
6
7
8
9
10
Dark
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Chocolate Covered Strawberries
$
13.00
Strawberries are made to order daily. We recommend gifting strawberries the same day as pickup or refrigerate for the next day! 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
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
Item subtotal:
$
0.00
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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