Custom Cake Topper Order Form

					Custom Cake Topper Order Form
www.LaBananeRouge.com
THIS FORM AND A 50% DEPOSIT MUST BE RECEIVED TO SECURE YOUR ORDER
NOTE! Character figurines are not intended to be portraits or exact duplicates of you or your faces. Faces, bodies, and props will be cartoonish in representation. Figures are hand made and minor flaws may be expected as a result of the process.

give La Banane Rouge permission to use images of my topper or figurine in any publication and for publicity purposes without compensation. I have read, understood, and hereby agree to all terms and conditions presented on this page Signature Date
PLEASE MAKE CHEQUES PAYABLE TO Christina Gemmell Please retain a copy of this completed and signed form for your records. Send the original along with the deposit to: Christina Gemmell email LaBananeRouge@gmail.com for mailing address and phone number

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