| I would like to schedule a party on the following
date: (please specify day of week, month, date) ________________________________________________________________________ |
|
My preferred times are from: ___________ (start time)
to: _________________ (end time) |
| Remember, we will call you to confirm times available and to help you book your reservation. |
|
|
Number of children (estimate): _________ X $12.00
= $:_______.___ |
|
My deposit is 50% of the estimate:$ ________. ________ |
|
My balance due is:$ ________.______ I am paying by [
] Check (enclosed) [ ] Credit Card (information below) |
| When setting up a birthday party for children and others, ask about desserts from
the
Carousel Creamery. Special package pricing is available that bundles our regular party package with desserts and more. |
|
|
| Please note:
The following information is needed even if you are paying by check. We use it
to validate the check and apply payments if there should be an issue with funds on the check
for any reason. Thank you! |
|
Name as it appears on credit card:
______________________________________________________________________________ |
| Credit card
number: _____________________________________________________________________________ |
| Credit card expiration
date: (month/year) ________ / __________ |
|
|
| Name:____________________________________ |
| Address:____________________________________ |
| City:____________________________________ |
|
State:___________________ Zip Code: ______________ |
|
| Daytime Phone:____________________________________ |
| Evening Phone:____________________________________ |
| E-mail:____________________________________ |
| Name of Birthday Star!:____________________________________ |