High Tea Cupcakes Form

Congratulations on the successful sale for 6 High Tea Cupcakes @ $19
via Living Social Promotion - 10 September 2011.

The 6 x cupcakes will be a chocolate mudcake flavour.
The cupcakes have a shelf life of 3 days, and will be baked the day before delivery.

Please can you complete this 3 minute questionaire to enable us to process your transaction.

Your Name

Your Surname

Landline

Mobile

Please insert your Living Social Voucher Number:

Please insert your Living Social REDEMPTION code:

Please select one from the list below for the flower shades:

Assortment Spring Colours
Pink Tones
Blue Tones
Black and White
Red Tones

Are any special allergies we should be aware of?
Yes
No

Name of Recipient (person you are sending cupcakes to - if applicable)

Delivery Street Address

Suburb

Preferred Date of Delivery

NOTE: We use the services of a Courier to hand deliver your special treats. Weekly bookings are on a Tuesday and Friday, subject to availability. If there is nobody available to receive the delivery, the goods will be returned to Greenhithe, North Shore for pick up by the customer.

NB: We require a 7 day notice period to secure the booking, your order is only confirmed once our offices have notified you of delivery date.

If you are sending a gift to someone special, do you want us to include a message on your behalf?

Do you want to join our mailing list to receive newsletters and promotional offers?

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