Customer Name: __________________________________________________________________
Customer Street Address: __________________________________________________________________
City:___________________________ State:_____ Zip:_________
Customer Phone:___________________ E-mail:____________________________
Ship To: (Same as Customer – leave this section blank)
Name:_____________________________ Address:____________________________________
City:_______________________ State:____ Zip:_______ Phone:_________________
Payment:
Credit Card:_______ MasterCard _______ Visa
Name on Credit Card:___________________________________________
Credit Card #:____________________________Exp (xx/xxxx):________
3-digit Code:_____
Cookie Billboard™
Quantity:_____________
Shape/Size:
Square: 2.5”x2.5”___ 3.5”x3.5”___ 4”x4”___ 5”x5”___
Rectangle: Bus Card____ 3”x4”____ 3”x5”____ 4”x6”____ 8”x10”____
Circle: 3”___ 4”___ 5”___ 6”___
Oval: 2”x3”___ 3”x4”___ 4”x5”___
Custom: Please call with shape/size/quantity for custom quote
Packaging: All cookies are individually packaged in cello bags. If you’d like additional packaging, please choose (see price list for additional cost):
Acetate Box___ Wrapped Basket___ Other______
Digital file: Please complete the above information, and email with the digital file(s) you wish scanned on the cookie to stephanie@stephanies-premium-bakery.com. We can modify your file and add limited text – please type text/font below:
(Maximum 30 Characters)_______________________________________________________
Iced Citrus Gems
Orange Flavor:_____ Quantity(dozens):____________
Lime Flavor:_____ Quantity(dozens):____________
Lemon Flavor:_____ Quantity(dozens):____________
NSA Cookies & Muffins
Low Fat, No Sugar Added Muffins:
Chocolate Chip:____ Quantity(dozens):___________
Sunshine:____ Quantity(dozens):___________
Blueberry:____ Quantity(dozens):___________
No Sugar Added Cookies:
Chocolate Chip:____ Quantity(dozens):___________
Oatmeal Raisin:____ Quantity(dozens):___________
Instructions:
Minimum order quantity is one dozen. Orders for Dallas delivery may be picked up, or will be couriered. Out of town orders will be shipped by DHL, UPS, or FEDEX ground. If you have a preference/account # :________________________________________
Your order will ship within one week. Sales tax will be added in Texas. If you have a question, or need the order rushed, please feel free to call us at (214) 929-4455, and ask for Stephanie.
Stephanie’s Premium Bakery
1150 Empire Central Place, Suite 102
Dallas, TX 75247
