Max's Mail Order
Tel: 650-873-6297
Fax: 650-873-6461

Deliver to:

	Area Code and phone # (   )    -

	Please check if okay to leave at door _____

	Date:__________________________

Bill to:

	Address:_________________________________


	City, State, Zip:____________________________________

Circle type of Card:  VISA/MASTERCARD/AMERICAN EXPRESS/DISCOVER

Account number/Expiration Date:__________________________________

Signature:_____________________________

Daytime telephone:_____________________________


Assorted Cookies include:
	Rugalach - Jam Nut and Chocolate
	Hamentaschen - Poppy and Apricot
	Macaroons - Plain and Chocolate Dipped
	Chocolate Mudslides

Packaged in Max's tin.  Delivered fresh to your door.

	mall - Approximately 20 pieces $25.00 each
	Large - Approximately 40 pieces $40.00 each

Fax your order form to (650) 873-6461 - We will call and confirm your order.
Or place your order by phone (650) 873-6297 (9:00 am - 5:00 pm).

Quantity Small Assorted tin:_____________

Price:_____________

Amount:_____________

Quantity Large Assorted Tin:_____________

Price:_____________

Amount:_____________

Total:_____________

Gift card information:

	To:__________________________________

	From:__________________________________

	Brief Message:__________________________________

	________________________________________________


We ship all perishable gifts via 2-day service for delivery Wednesday,
Thursday and Friday.  Orders arrive by 4:30 p.m.

Multiple gift orders are packed and shipped in separate boxes.

All orders must be paid with a valid credit card.  There will be a $10
charge for incorrect shipping information.