Name *

First Name

Last Name

Phone *

We will only contact you using your phone number if we do not receive responses about a confirmed order over email.

(###)

###

####

Do you intend to pick up your order from us in Warrenton, VA? *

Please refer to our FAQ page.

Yes, I will pick up my order.

No, I would like to discuss other options.

Order Confirmation *

Once this form has been submitted, we will reach out to discuss the details of your order. Your order is not confirmed until we have made contact with you to discuss the details of your order and payment has been received. Specific payment information will be given in our confirmation email. We accept credit and debit cards, cash, or payment via Square reader, Venmo, Paypal, or Zelle. After your order has been discussed and payment has been received, your order will be added to our schedule and considered " Confirmed - In Process".

I understand my order is not confirmed until payment has been made and a confirmation email has been received from Wildflower Custom Cookies.