K
lappenbach
BAKERY
Gingerbread Gift Box Order Form
Fax to (870) 352-5348 or Mail to 108 West Fourth Street, Fordyce, Arkansas 71742
Please use new form for each ship to address
All prices include shipping and handling to anywhere in the continental U.S.
*
Gift Box Type
c
The Family Gift Box - $15.00 -
(A dad, mom, sister and brother)
c
The Extended Family - $25.00 -
(A grandpa, grandma, dad, mom, 2 sisters and 2 brothers)
c
The Orphan Pack - $25.00 -
(24 assorted brothers and sisters)
Bulk Packaging
c
Gingerbread Dad - $25.00 /doz
c
Gingerbread Mom - $25.00 /doz
c
Gingerbread Brother - $20.00 /2 doz
c
Gingerbread Sister - $20.00 /2 doz
c
Gingerbread Rounds - $25.00 /3 doz
c
Gingerbread Squares - $25.00 /3 doz
Ship to Address
Name
___________________________________
Street
___________________________________
___________________________________
City,State,Zip
___________________________________
Gift Card Message
___________________________________
___________________________________
___________________________________
Ship Date:___________________________
Method of Payment
c
Visa
c
MasterCard
Card #: _____________________________
Expiration Date: ______________________
Billing Address
(for above card)
Name
___________________________________
Street
___________________________________
___________________________________
City,State,Zip
___________________________________
Phone Number:_______________________
Email:______________________________
*
Arkansas residents add 8.5% sales tax.
