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Daily Special Local Pickup

This form is for local pickup customers only. Fill out the form below to order a daily special or to finalize your call-in order.

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Delivery Date*
MM slash DD slash YYYY

ADMIN ONLY - Change date under ADVANCED if needed
Name*
First Last
Email*
Mobile Phone*
(To receive text or call about your order.)
PICKUP ORDER LOCATION*
(select a location)
- PICKUP AT SOUTH LAMAR - SL
- PICKUP AT RIVERPLACE - RP
- PICKUP AT BRODIE - BR
- PICKUP AT HOUSTON - HOU
Daily Special Items
AVAILABLE FOR SAME-DAY PICK-UP AT THE SOUTH LAMAR LOCATION AFTER 4:00 PM, OR NEXT-DAY PICK-UP AT THE RIVER PLACE, BRODIE LOCATION AFTER 1:OO PM
A.) Quantity
Price: $0.00
B) Quantity
Price: $0.00
C) Quantity
Price: $0.00
D) Quantity
Price: $0.00
F) Quantity
Price: $0.00
G) Quantity
Price: $0.00
H) Quantity
Price: $0.00
Call Ahead Items
(This section is only for customers who called in a special request and were invited to this form.)
A) Case Cake Quantity
Price: $65.00
Must Call Ahead to Confirm Location Stock
B) Case Cupcakes Quantity
Price: $4.50
C) Decorated Sugar Cookies Quantity
Price: $5.00
Our pre-designed sugar cookies! Please call ahead!
D) Mini Cupcake Dozen Quantity
Price: $15.00
D) Gluten Free Vanilla Cupcake Quantity
Price: $5.50
Regular sized - MUST BE ORDERED AT LEAST 2 HOURS IN ADVANCE!
D) Gluten Free Chocolate Cupcake Quantity
Price: $5.50
Regular sized - MUST BE ORDERED AT LEAST 2 HOURS IN ADVANCE!
Special Instructions
Enter special instructions here
Tip
TOTAL AMOUNT:
$0.00
Pay and Confirm
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Zip Code*
Consent to SMS Notifications
I agree to be contacted via SMS messages from HayleyCakes and Cookies such as order pickup reminders, payments, and similar notifications. To end these alerts I can text STOP at anytime. Message and data rates from my service provider may apply.
Confirm that you are able to receive order notifications via text / SMS messages to the phone number indicated.
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Name
First Last

Daily Special Local Pickup

Daily Special Items

Call Ahead Items

Pay and Confirm