University of St. Francis

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

At the cost of $5, the Alumni & Family Relations Office will provide your student with an individual-sized birthday cake made with love by Joliet's own Milano's Bakery. The cake will be held in the Alumni & Family Relations Office for pick-up on the first Monday of the student's birthday month. Your student will be notified by telephone that they have a special birthday delivery, and that they will have until the end of that work week to pick-up their cake. All cakes will say "Happy Birthday (Name)" but you may include a special message to be printed on a card that will be attached to the cake box.

*Orders and payment are due one full week prior to the Monday delivery date.
**Please note that cakes are only distributed during the academic year (September through April).

Qty

Description

Amount

Total

$5.00

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Total: $0.00

STUDENT INFORMATION

Name: *

Birthday: *

Building & Room #: *

Phone #: *

Message to student to be attached to cake:

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *