New Customer Registration Form

Registration & Order Form

Please fill in the form below.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Function Type*
Function Date*

DayMonthYear
Date
Venue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Allergies*

NutDairyGlutenLactoseEggNo allergiesOther
Flavour *
If you have more than one tier,
Tier 2 Flavour
Tier 3 Flavour

Ganache Layer*

	Yes	No
We add a thin layer of chocolate ganache to help the fondant stick. If you don't mind ganache mixing with other flavours except chocolate, tick "Yes", if not tick "No".

Select your choice.*

	Yes	No
Sandwiched with buttercream & jam
Sandwiched only with buttercream

Message on the cake*
Eg - Happy Birthday Andy
Requirements and suggestions you would like to be included .
Please verify that you are human*
Signature

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