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Kefir Cake
ORDER FORM
"
*
" indicates required fields
Name
*
First
Last
Email
*
Phone
*
Size Cake
*
20oz - $15
32oz - $25
64oz - $45
Quantity
*
Add-Ons
Protein Powder
Blueberries
Banana
Lemon
Cinnamon
Coconut
List Allergies
Preferred Delivery Date
*
MM slash DD slash YYYY
Please allow at least 3 days for processing.
Total
Payment Method
*
PayPal Checkout
Credit Card
Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number
Card Number
Expiration Date
Expiration Date
Security Code
Security Code
Cardholder Name
Other Comments/Questions
Email
This field is for validation purposes and should be left unchanged.
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