Giggles Gluten-Free Bakery Order Form

To submit an order, please print and mail and either attach as an Email or fax this form to:

Giggles Gluten Free, LLC

227 Symons Street

Richland, WA 99354

Or Fax to: 1-509-946-8013

Email: Giggles Gluten-Free Bakery

Please allow 2 weeks for shipping.

 

Items Ordered:


 

Item Number

Item Title

Size

Color

Quantity

Price

e.g. 125

e.g. Emmy’s Italian Spice Pizza Dough

e.g. Lg

e.g. NA

e.g. 1

e.g. 5.50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Destination Sales Tax applied (by state & city).

 

Handling - $7.50. plus Shipping rates based on weight and destination

 

Total

For more items, please print and include a second form.

 



Customer Information


 

*First Name ________________________


*Last Name ________________________


Company     ________________________


*Email         ________________________


Phone          _________________________


 


Credit Card Information


 


*Card Type  ________________________


*Cardholder’s Name As Shown On Card  ___________________________________


*Card Number ______________________


*Expiration Date (mmyy)  ____ / ____


*3 Digit Security Code   _______________


 


*Required fields.


Billing Address


 


*Address Line 1  ______________________


*City  _______________________________


*State/Province _______________________


*Country _____________________________


*Zip/Postal Code ______________________


 



Shipping Address (if different from billing address)


 


Ship To Name __________________________


Address Line 1 __________________________


City __________________________________


State/Province __________________________


Country _______________________________


Zip/Postal Code _________________________


 


 


Thank you for ordering from GGF. If you have any questions, please do not hesitate to contact us by phone at: (509) 946-8000, or by Email: Giggles Gluten-Free Bakery.