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Custom Cake Order Form
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Valentine's Day Pre-Order Form

First name*

Last name*

Email*

Phone*

Pickup Date*

Menu*

6" Mini Cake

6" Mini Cake $35

6" Mini Heart Cake

6" Mini Heart Cake$35

Cookie Cake

Cookie Cake$30

Mini Cookie Cake

Mini Cookie Cake$18

Tiramisu for Two

Tiramisu for Two$14

Tres Leches for Two

Tres Leches for Two$14

Cake Flavor (If multiple cakes, list cake flavors below in decoration notes)

Cake Filling

Raspberry Compote$5

Whipped Cream$5

Chocolate Ganache$5

Cookie Flavor (If multiple cookies, list the cookie flavors in the decoration notes)

Inscription

Example: "i love you" in cursive or "LOVE YOU" in all caps, etc.

Decoration Notes

Colors, piping preferences, etc.

Cake Decoration Reference Picture (optional)

ADDRESS

534 Main Street

Harmony, PA 16037

HOURS

Mon - Fri: 7:00am - 2:00pm

Sat: 8:00am - 3:00pm

Closed Sunday

CONTACT

ashley@lagerhausbakery.com

(724)584-6850

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