Your Everyday Gourmet Fax Order Form

Thank you for your decision to purchase the highest quality foods available anywhere.

Instructions: Print the Fax form and fill it out with your selections and other information.

Fax to the number below and we will confirm your order and deliver your Gourmet Selections directly to you!
You may also fill out the information in an email and email it to us. We will reply with a confirmation of your order.

Fax # (310) 373-6420

Owner/Distributor-Robert Scutero

(310) 991-5945 cell

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NAME:________________________________________________

ADDRESS:_____________________________________________

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PHONE NUMBER:__________________________ CELL NUMBER______________

* FAX NUMBER:________________

* E MAIL ADDRESS:______________________________________

Food Preferences / Allergies_______________________________ Special Dietary Requirements_____________________________

Convenient day/time to deliver to you: Date:_____ Time: ______AM_____PM

Notes:___________________________________________________________________________________________________________________________________________________________________________________________

* In order for you to receive a confirmation of your order, Please include your Fax# or E Mail Address and we will gladly send you a confirmation!

**In the Los Angles, Orange County, San Diego County and Ventura County areas, Fax Orders will be delivered to your door within 24-48 hours unless you specify otherwise. We will always confirm with you the best time and day for delivery. If you reside outside these areas, delivery is normally 48-36 hours, not weeks! An email will always be sent to you confirming your order and the date of delivery.