Thank you for placing an order with Mimi's Gourmet Cake Pops. Please complete the order form below and we will promptly send you an invoice for your order and contact you if we have any questions. Enjoy!

Name
Phone Number
E-mail Address
Expected Delivery Date (Please allow 48 hours for local deliveries and 72 hours for shipping)
Expected Delivery Time	*	- - Choose One - - 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM
Flavor Gallery Selection(s)	*	Dark Chocolate Cookie Crumble Orange Cream Dark Chocolate Vanilla Buttercream Key Lime Toffee Crunch Lemon Cream Red Velvet Dark Chocolate Cookie Crumble Peanut Butter Swirl Pina Colada Orange Cream Seasonal: Key Lime Toffee Crunch Peppermint Chocolate Holiday Spice Peanut Butter Swirl Dark Chocolate Mint Pina Colada White Chocolate Macadamia Nut Seasonal: Peppermint Chocolate Halloween Haunting Holiday Spice Dark Chocolate Mint White Chocolate Macadamia Nut Halloween Haunting *Custom Order*
If this is a custom order please upload photo, artwork, description, etc.
Number of Gourmet Cake Pops	*	6 Gourmet Cake Pops $18.50 12 Gourmet Cake Pops $32.00 24 Gourmet Cake Pops $45.00 36 Gourmet Cake Pops $75.00 Custom Order - See Below
If ordering more than one (1) flavor or quantity, please list flavor(s) and quantities below.
I have placed an order with Mimi's Gourmet Cake Pops and understand that I will receive an invoice and/or any questions pertaining to my order. I understand that each order is custom made and prepared to my specifications and will promptly pay for the order upon receipt of my invoice.	*	Yes No