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Cake PoPs Unlimited~~Order Form

Fighting Cancer One PoP at a Time!

• Name *
• Address to ship (US only) Shipping price range is $8.00-$12.00. *
  Street Address Address Line 2 City State / Province / Region Postal / Zip Code Antigua and Barbuda Aruba Bahamas Barbados Belize Canada Cook Islands Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Netherlands Antilles Nicaragua Panama Puerto Rico Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faroe Islands Finland France Georgia Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Montenegro Netherlands Norway Poland Portugal Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Afghanistan Bahrain Bangladesh Bhutan Brunei Darussalam Myanmar Cambodia China East Timor Hong Kong India Indonesia Iran Iraq Israel Japan Jordan Kazakhstan North Korea South Korea Kuwait Kyrgyzstan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Palestine Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen Australia Fiji Kiribati Marshall Islands Micronesia Nauru New Zealand Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Democratic Republic of the Congo Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Gibraltar Guinea Guinea-Bissau Cote d'Ivoire Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa Sudan Swaziland United Republic of Tanzania Togo Tunisia Uganda Zambia Zimbabwe Country
• The Shipping Date. (When it leaves my hands~~Please keep in mind shipping is two days). I only ship on Monday, Tuesday, or on Wednesday. *
  MM / DD / YYYY
• Email *
• How many do you desire (Min. Order is 12)? *
• Please select the PoP you want. If you want a mixed pack, please select all that apply. *
  Cake PoP

  Marshmallow PoP

  Cookie PoP

  Cookie Dough PoP

  Brownie PoP

  Pie PoP

  Bites (PoPs w/o sticks)

  Sampler Pack $30.00

  Cheese Cake PoP

  Note sure of the cost? Go to Pictures or the Price Page to help determine the price.
• Flavor (you can do 6 one way and 6 another) *
  (6 of one PoP in one Flavor and 6 in another)
  Ex. 6-Chocolate Cake PoP and 6- Chocolate Chip Cookie Dough PoP
• Flavor 2
  Need more flavors? Please let me know when you tell me your design.
• How would you like it packaged? *
  Boxed (comes with Styrofoam to set it up) $10.00

  Mug $10.00

  Basket $12.00

  Vase (Big) $10.00

  Vase (Small) $3.00

  Tin $5.00

  Singled (Nothing extra)
• Cancer Foundation *
• Please use the Code from the picture and place here along with colors and any special design you are looking for. *
• Coupon Code
• How did you hear about us *
• If you would like to add someone to the Cancer Wall~~Place the infomation here.

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