Charcuterie & Champagne wall order form Name * First Name Last Name Email * Phone (###) ### #### Number of cones ($10 each) Number of champagne glasses ($1 each) Date MM DD YYYY Time Hour Minute Second AM PM Address Address 1 Address 2 City State/Province Zip/Postal Code Country Custom signage ($20) Please list any food allergies ( please type N/A if there are none) Preferred payment Venmo Zelle Applepay Credit card + 3.5% surcharge fee Additional notes/comments/Extra orders Thank you!ALLOW 24 HOURS FOR AN ORDER CONFIRMATION. WE WILL CONTACT YOU ONCE YOUR ORDER HAS BEEN SUBMITTED TO ARRANGE FOR PAYMENT.
