Treat of the Month Club Order Form

Please complete the form below to join our Treat of the Month Club and receive a surprise specialty dessert on the second Friday of each month. Choose from 3, 6 or 12 month memberships or purchase a single dessert.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Membership Length

Preferred Method of Contact

Treat of the Month Club Order Form

Sippers