Todays Date:          

Date to be shipped:  ( Tuesdays or Wednesdays only )

Ordered by:           

Your Phone #:   E-mail 

Deliver to: ( Name )

Delivery address: ( no P.O. boxes please. Gateaux cannot be liable for incorrect addresses. In the event an incorrect address was provided, we will make a second attempt for a nominal charge.)

Address:
City:        State:   Zip            

Delivery phone number:

Gift Tag Inscription:        Happy Birthday Happy Anniversary Congratulations Thinking of You
Only the names provided in this box will be used:

24 Tea Cookies                                                 Price
Please choose one
 * Shipped within Colorado                              $45.00
 * Shipped Outside Colorado                            $50.00

 * Extra for Overnight Shipping                       $20.00

   Qty         Total ( Please add correctly ) $

  Billing information:

                                  

Please contact Gateaux with your credit card information...

Please print this page for your records before clicking the Submit button. We thank you very much for your order.