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.
