Quickie Dips Order Form

Please fill out the form below to complete your order. Cost is $3.25/container in the Cincinnati area.

Today's Date * / MM / DD YYYY
Requested Delivery Date * / MM / DD YYYY
Requested Delivery Time * : HH MM AM/PM
Contact Name * First Last
Phone * - (###) - ### ####
Email *
Please list below how many individual servings you want of each flavor. Each serving comes with 2 scoops of 1 flavor.
Blueberry Waffle Cone
Cookies & Cream
Cookie Dough
Peanut Butter Cup
Vanilla
Bullpen Chocolate®
Moose Tracks®
Philadelphia Freedom Mint
Strawberry Strikeout
Wedding Cake
Buckeye Bites
Butter Pecan Crunch (no sugar added)
Triple Raspberry Sherbet
Total Servings *
Do you have any special instructions?
Will the ice cream be served immediately after delivery? * Yes No
If not, do you have freezer space available? Yes No
Method of Payment (due at time of delivery): * Cash Check Charge (Mastercard & Visa only)
We will do our very best to accommodate your date & time that you have requested. However, sometimes it is not possible due to deliveries scheduled previously. Because of that, we do ask that you give us a second-choice date and time for your delivery.
Second Choice Date * / MM / DD YYYY
Second Choice Time * : HH MM AM/PM
Delivery Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country