Culver-Stockton College

Birthday Cake or Cookie Order Form

The Student Life Office is offering you the chance to send a Birthday cake or cookie to your student for $20. The cake is 9" round and the cookie is a 12" round cookie and will say "Happy Birthday!" which is sure to please your student and help them have a great day! 

Any questions please contact: 

Culver-Stockton Student Life Office, 573-288-6334, kford@culver.edu

Student Information:

Student Last Name:

Student First Name:

Student Telephone #:

Student Email:

Please select Cake or Cookie:

Cake Flavor: 

Cake Icing Flavor:

Cookie Icing Flavor:

Assorted Candy Toppings:

Any Allergens Present:

Please specify allergens:

Personal message to be included with cake/cookie purchase:

Please select the quantity to order:

Date of delivery:

Order Contact Information:

Last Name:

First Name:

Telephone #:

Email:

When you click the submit button on this form, it will direct you to the credit card site to enter your payment information. To avoid duplication of orders, please answer No and return to the form at a later time to complete your application if you do not have credit card information at this time.  Thank you.