3#**id**#Choose your date for pick up:#**label**#type_date#****#4#**id**#Time:#**label**#type_time#****#5#**id**#Full Name:#**label**#type_name#****#6#**id**#E-mail#**label**#type_submitter_mail#****#7#**id**#Mobile/Phone Number:#**label**#type_phone#****#9#**id**#Cupcakes Flavors (1 doz. minimum)#**label**#type_paypal_checkbox#****#10#**id**#Choose your butter cream frosting:#**label**#type_radio#****#15#**id**#Total:#**label**#type_paypal_total#****#11#**id**#Details (if any):#**label**#type_textarea#****#12#**id**#Upload an image of cupcakes you like so that I can have an idea of what you want.#**label**#type_file_upload#****#14#**id**#type_submit_reset_14#**label**#type_submit_reset#****#16#**id**#Select:#**label**#type_own_select#****#