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cake program form


Lunds and Byerly's Catering Monthly Cake Program

Please fill in delivery information:

Name Company:  ____________________________________________

Address Suite/Floor:  __________________________________________

City Zipcode:  ________________________________________________

Phone:  ____________________________________________________

E-mail:  ____________________________________________________

Delivery Instructions:  _________________________________________

Please select cake size:
    Half Sheet (serves 25 to 45) $65.00 
    Full Sheet (serves 45 to 90) $ 112.00

Please specify delivery date, day and time:

Month            Date             Day             Time             Month            Date             Day             Time

Jan                                                                                Sep

Feb                                                                               Oct

Mar                                                                                Nov

Apr                                                                                Dec

May                                                                               Jan

Jun                                                                               Feb

Jul                                                                                Mar

Aug                                                                               Apr

Method of payment:
Visa     Master Card     American Express    COD

C r e d i t Card # _ _ _ _ - _ _ _ _ - _ _ _ _    Exp Date:

Name (as it appears on card):

Cardholders Billing Address:

City

State: Zipcode:

Card Holders Signature:__________________________________________________________________