Full Name:

   E-mail   :

   Area Code & Telephone #:

   House# : Street: Apt.#:

   City   :

   State  :  Zip:


   Party Theme: VictorianBallerinaPrincess



   Total # of children to be invited

   including the Party Girl: 10 or less1112131415161718192021222324252627282930313233343535 or more



   First name of the Party Girl: 

   This special tea party is a gift for my: DaughterNieceGrand-daughterGod-childOther

   Age of the Party Girl: 567891011121313+



   Location where party will be held if different from address above:

   House#: Street: Apt.#:

   City: State: Zip:



   Preferred Party Day (day of the week): SundayTuesdayWednesdayThursdayFridaySaturday

   Preferred Party Time (time of day): 11:00am to 1:00pm2:00pm to 4:00pm12:00pm to 2:00pm3:00pm to 5:00pmOther

   Preferred Month/Date: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120082009



   2nd Preference Party Day (day of the week): SundayTuesdayWednesdayThursdayFridaySaturday

   2nd Preference Month/Date: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031



   Comments:



   Driving directions from nearest highway:



   YesNo "I will return here to use my MAJOR CREDIT CARD

   to make my deposit once I have clicked "submit" to record

   the particulars of my party order."



   NoYes "Within 3 days, I will mail a check/money order for my

   nonrefundable $100 deposit made payable to The Charming Teapot.



Your completed e-mail form will hold your requested or alternate party date

for 5 days for your deposit to be received.

    Now, you are ready to click the "Submit" button

    to reserve a treasured experience for that very special young girl in your life,

    then, if you wish to charge your deposit using your

    MAJOR CREDIT CARD, be sure to return here to our

    "secure shopping service" (see the link below this form).



            

           Note: You'll know your request has been successfully transmitted

            when you see a "Thank You" screen. Transmission can sometimes

            take several minutes. Please be patient.