Shelby Twp. Bakery In-Store Custom & Special Occasion Cake Order Form : Vince & Joe’s Gourmet Markets

Customer Name*

First Last

Customer Phone*

Pick-Up/Delivery Date*

Pick-Up/Delivery Time*

:

Delivery Address (If Applicable)

Street Address Address Line 2 City State ZIP Code

Delivery Fee (If Applicable)

($29.99 first two miles/$2.50 each additional mile)

Finished Icing*

Price is Per Serving

Cake Size

Serving's Quantity

Please enter a number greater than or equal to 15.

Cake Flavor

Premium Cake Flavor

Mousse Filling

Premium Filling

Side Cake

Inscription

Special Instructions

Additional Decoration Fee (If Applicable)

1) Miscellaneous Item

1) Miscellaneous Item Price

2) Miscellaneous Item

2) Miscellaneous Item Price

3) Miscellaneous Item

3) Miscellaneous Item Price

Order Taker Name*

First Last

Today's Date*

Total