Maple Street Bakehouse
(555) 234-5678 · Express Holiday Pie Pickup Counter
Order Cutoff: Sunday, Nov 22, 2026 at 6:00 PM
1. Customer Contact Details
2. Reserved Holiday Pickup Window (Check One)
3. Holiday Pie & Bake Selection
| Pie / Bake Flavor | Size | Price | × Qty | = Line Total |
|---|---|---|---|---|
| Roasted Sugar Pumpkin Custard Pie | 9" Deep Dish | $32 | $ | |
| Bourbon Toasted Pecan Pie | 9" Standard | $36 | $ | |
| Dutch Apple Streusel Crumb Pie | 9" Deep Dish | $34 | $ | |
| Double-Crust Lattice Cherry Pie | 9" Standard | $35 | $ | |
| Salted Maple Chess Pie | 9" Standard | $30 | $ | |
| Gluten-Friendly Spiced Apple Pie | 9" Standard | $38 | $ | |
| Payment Terms: Pay at Pickup Counter (Cash or Card) — 0% Markup Paid in Full Deposit: $_______ Pay at Pickup | Total Qty | ORDER TOTAL $___________ | ||