Print - Fill out - Mail in this formReturn to:
Janice's Country Gourmet Icing LLC
1737 Sierra Dr. NE
Cedar Rapids, IA 52402
checks payable to: Janice's Country Gourmet Icing LLC
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Print - Fill out - Mail in this form Return to: Janice's Country Gourmet Icing LLC 1737 Sierra Dr. NE Cedar Rapids, IA 52402 checks payable to: Janice's Country Gourmet Icing LLC |
|
Billing info:
Name:___________________________________ Company:________________________________ Address:________________________________ City:___________________________________ State:__________________________________ Zip:____________________________________ Phone:__________________________________ E-Mail:_________________________________ |
Shipping info (if same as billing, leave blank):
Name:___________________________________ Company:________________________________ Address:________________________________ City:___________________________________ State:__________________________________ Zip:____________________________________ Phone:__________________________________ E-Mail:_________________________________ |
| Order | ||||
| Name: | size: | cost ea.: | qty: | total: |
| Janice's Gourmet White Icing | 10oz | $4.49 | ||
| Janice's Gourmet Chocolate Icing | 12oz | $4.75 | ||
| Janice's Gourmet Vanilla Icing | 22oz | $8.95 | ||
| Janice's Gourmet Chocolate Icing | 24oz | $9.25 | ||
| These sizes will be available only until containers run out. | ||||
| Shipping is $5.50 for the first 10oz or 12oz container + $3.00 each additional Shipping is $7.50 for the first 22oz or 24oz container + $3.00 each additional | Shipping: | |||
| Grand Total: | ||||
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