Pop Pop's Order Form

Name:		Date:
Phone #:		Pick-up:
Please enter how many donuts you'd like to order below. Minimum order of 12 total donuts. Thanks and enjoy!

No toppings	Just the glaze	Just chocolate icing
Powdered sugar	with rainbow sprinkles	with rainbow sprinkles
Cinnamon sugar	with chocolate sprinkles	with chocolate sprinkles
	with shredded coconut	with shredded coconut
	with chopped peanuts	with chopped peanuts

		Additional Instructions or Comments
Just the vanilla icing	Just the strawberry icing
with rainbow sprinkles	with rainbow sprinkles
with chocolate sprinkles	with chocolate sprinkles
with shredded coconut	with shredded coconut
with chopped peanuts	with chopped peanuts

TO FAX FORM: Please print form and fax to 302.226.2260.	TO SEND ELECTRONICALLY: Please click here: