Name *

First Name

Last Name

Phone *

(###)

###

####

Event Date (if applicable)

MM

DD

YYYY

Order Due Date *

Refers to date you expect order in hand

MM

DD

YYYY

Design(s)

Choose all that apply. Use the Additional Information text box to specify QTY per design.

DIOR logo (rectangle)

CD logo (circle)

J'Adore parfum bottle (rectangle)

Savage parfum bottle (rectangle)

DIOR Blush (rectangle) (specify blush color(s) in text box below)

Flowers Are Gold J'Adore (circle)

Miss DIOR parfum bottle (rectangle)

New artwork/image (send to: edibleimpressions@me.com

Other (use the Additional Information text box to describe your vision)

Sugar Crystal Border Color *

White

Gold

Pink

Baker's Choice

Other (use Additional Information text box to describe your vision)

Presentation *

Min. QTY 24 apply to Favor Bags & Dessert Style. Single Gift Box purchase welcome. Shipping & Handling is supplemental to cost of cookie presentation(s).

$4.90 each Special Event / Favor Bags (large 3 1/2"; heat sealed no ribbon or tags)

$5.00 each Special Event / Favor Bags (large size 3 1/2"; includes ribbon and tag)

$3.80 each Dessert Style in Bulk (medium 2 1/2"; heat sealed no ribbon or tags)

$49.00 each Gift Box Medium - 6 large; 1-3 assorted designs

$65.00 each Gift Box Large - 12 large; 1-3 assorted designs

$80.00 each Gift Box Party - 24 medium; 1-3 assorted designs

Other (use the Additional Information text box to share your vision and budget for recommended presentation)

Delivery Method *

Local Pick Up (Mequon, WI)

Shipping (UPS Ground Service unless otherwise requested)