Name *

First Name

Last Name

Phone *

(###)

###

####

Event Date *

MM

DD

YYYY

Delivery or Pickup? *

(There is a delivery/setup fee depending on location)

Delivery

Pickup

Time *

Hour

Minute

Second

AM PM

Location of Delivery

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Allergies: *

Water to Wheat Cakery makes every attempt to identify ingredients that may cause allergic reactions for those with food allergies however we are unable to guarantee that any item can be completely free of allergens. Water to Wheat Cakery does not assume liability for adverse reactions to foods consumed or which you may come in contact with.

Yes

No

Tiers: *

Yes

No

Flavors *

Vanilla

Vanilla Almond

Chocolate

Chocolate Peanut Butter

Carrot

Oreo

Cake Topper Add *

(There is a $15 charge)

Yes

No