First Name

Last Name

Phone

Email

Cake Size Cake Size Single Layer (serves 22) Double Layer (serves 44) Half of a Single Layer (serves 11) Custom Size (Describe in Message Section)

Flavors Flavors Banana-Date Blueberry (discount 150₪} Carob-Walnut Cherry (photo: cherry on top) Chocolate-Blood Orange Peel Etrog-Frankincense Fig Leaf (discount 150₪) Mint-Chocolate Peach Pina-Colada Pistachio-Date (photo: pistachio on bottom) Pomegranate (discount 150₪) Red Raspberry Rum Raisin Strawberry Tutti-Frutti Other (specify in Message Section)

Design Design Two Layers (photo: spumoni example) Starburst (photo: Etrog-Frankincense example) Concentric Circles (photo: Tutti-Frutti example) Graphic of Event Invitation or other design Seasonal Flowers (and their meanings) Custom (specify in Messages Section)

Decoration Decoration Chocolate Shavings Nature Chocolates and/or fruit balls Custom (describe in Messages section) None

Who Will Pick Up the Cake?

Date & Time of Pickup

Packaging Packaging Clear Hard Plastic Container Clear Cellophane Cake Box Ice Packs Cardboard Outer Box Insulated Bag I'm bringing my own packaging

Payment Payment Cash

Message