Online Final Wedding Payment Form

Online Wedding Final Form/Payment Draft

Full Name #1 *

Full Name #2 *

Mobile Phone *

Primary Email *

Secondary Email

Phone *

Wedding Reception Date *

Wedding Reception Name/Place/Location *

Estimated Delivery Time/Guest Arrival *

This form serves as a final payment outline for Simple Simon Bakery to provide desserts for your wedding. This form includes all contact information and product / design files for a wedding cake or wedding desserts as listed for the specified date. Your total balance is listed below.

Customer Acknowledgements

Customer has met with Simple Simon Bakery to finalized details for their wedding

Customer agrees to Simple Simon Bakery processing credit card payment on their behalf

Stand Rentals will be reimbursed to listed credit card upon return/conition

Wedding Final Payment Cost

Special Notes about your wedding order

Rental Stand Notes

Please review your information below, making any necessary edits before submitting

Simple Simon Rewards

I want to be a member of Simple Simon Rewards program to receive discounts and promotional items

Credit Card *

Total with added convenience fee

You will receive an email confirmation if your payment was successfully processed. Please check your spam before calling the bakery to confirm.

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Please review your information below, making any necessary edits before submitting

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