ORDERING INSTRUCTIONS
ORDER FORM

• Privacy Policy: We honor all federal privacy policy laws. Your personal information will only be provided for shipping and mailing purposes for orders. You may also copy this form & send a check.
• We accept MasterCard - Visa - Discover Card

YOUR INFORMATION:
  
Name:
Phone:
Street Address:
City:
State:
Zip:
Email:
Work Phone:
Cell Phone:
Date Of Order:
Coupon Value Selected:
 $20.00 $50.00 $100.00 Other $
Method Of Order:
Credit Card Type:
Credit Card Number:
Name On Credit Card:
Expiration Date:
YOUR GIFT GOES TO:
  
Name:
Phone:
Street Address:
City:
State:
Zip:
Email:
Comments:
Please review your order! Do you wish to edit your order?
Signature For Credit Card Orders:

EMAIL YOR ORDER
your order to
joyce@the-whitaker-house.com
chuck@the-whitaker-house.com

OR

CALL IN ORDER
Simply call our store at 1-614-210-1121 and order your items by credit card.
(You may also call in your order and pick it up at our restaurant during business hours.)

PRINT & FAX IN YOUR ORDER
Fax your order to 1-614-761-8995. (Sign all Credit Card orders)

POST OFFICE MAIL-IN
(Both Credit Cards and checks are accepted)
Mail your order to:
The Whitaker House, LLC
147 W. Olentangy St. (Powell Road)
Powell, OH 43065
(Sign all Credit Card orders)

Print 2 copies and keep one.
Expect to receive your certificate in a few days.

Thank you for your order!