HOLLYWOOD BAKERY ORDER FORM

Send to: Wendy Childers, Hollywood Bakery, 1600 Taft Road, Chesapeake, VA 23322

Please make payment out to Wendy Childers and include with order. Shipping is a flat $5 for priority shipping. Insurance is extra according to total. $0-$50 is $2 and $51-$100 is $3.

 Quantity         Description of Item      Price each     Total
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
                 Sub-total     $
                 Total Shipping     $ 5.00
                 Total Order     $