Cassie's A7 Form

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Fill out the form below and click "Submit" to send answers

Ice cream cone

Choose your favorite ice cream flavor:

Type
With sprinkles
Without sprinkles

Number of pints(1 - 12):

Last time you ate ice cream:

Extras troppings:
Oreos
Chocolate Syrup
Carmel Syrup

Now, for more questios

Personal Information Name :
Address:
City :
State :
Zip :
Phone :