Advanced Pickup Order Form

Please use the form below to place your order. Your order will be confirmed via the E-mail address supplied below . Your order is not complete until it has been confirmed. Please allow up to 24 hours to confirm your order... No orders will be excepted after 6:00pm the day before the order is due, allowing us time to put your order into the next days baking schedule. You can send it in, but there is no guarantee we will have your order or have it ready...

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NOTE: THIS FORM IS FOR DAYLIGHT DONUTS GREENWOOD INDIANA ONLY

Contact information
Name	E-mail
Phone	Fax
Date Requested	Time of Pickup	or

Select type of product

Each

ï Make your donut selections to the left.

Purchase a minimum of 1 dozen donuts or up to 10 dozen and receive a 20% discount for ordering online. This means if you order 12 Glazed Yeast at 60¢ each, your total will be $7.20-20%=$5.76… Or order 4 Dozen Long Johns ($38.40) and 4 Dozen Glazed Cake ($28.80) and your total order would be $38.40+$28.80-20%=$53.76

Order between 11–20 dozens will receive an additional 5% discount (or 25% off the per donut price)

Order between 21–30 dozens will receive an additional 5% discount (or 30% off the per donut price)

Orders over 31 dozen, please call for special pricing…

*Donut holes are counted as 1 dozen = 1 donut in order count for discount

Special instructions:

Call to place order with more than 12 different items

I do here by agree to purchase the submitted order. I will be responsible for all charges even if I am unable to pickup the order at the Greenwood Indiana location by 12 noon the day the order is to be picked up and my initials will act as my signature in agreement to these terms.