Delivery Order Form

Select type of product

Each

ï Make your donut selections to the left.

Purchase a minimum of 5 dozen donuts or up to 10 dozen donuts for delivery and receive a 2.5% discount off the per donut price when ordering online. This means if you order 12 Glazed Yeast at 79¢ each, your total will be $9.48-2.5%=$9.24 per dozen delivered*…

Order between 11–20 dozens will receive an additional 2.5% discount (or 5% off the per donut price delivered)

Order between 21–30 dozens will receive an additional 2.5% discount (or 7.5% off the per donut price delivered)

Orders over 31 dozen, please call for special delivery pricing…

*Deliveries must be within 7 miles from the store. Delivery over 7 miles will be charged a $1.35 per mile (labor & fuel charge).

Check Mileage, after the direction window opens click Get directions and enter your delivery address. This should show you the distance between locations.

Delivery times and destinations are at our discretion and must be approved before order is accepted.

*Minimum delivery order $50 after discount (not including labor & fuel charge).

Rates do not apply to daily delivery accounts.

*Donut holes are counted as 1 dozen holes = 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 except or pickup the order by the specified time and day the order is to be picked up and my initials will act as my signature in agreement to these terms.

Contact information
Name	E-mail
Address	Address
Phone	Fax
Date Requested	Delivery time	or