Date: ____________________________
Pan No. : _________________________
Time: ____________________________
Name: ____________________________
Phone: ____________________________
Address: __________________________
Credit Card No. : ___________________
I understand that failure to return cake pan(s) will result in the value of that pan(s) to be charged to my credit card.
Signature: _______________________

Date: ____________________________
Pan No. : _________________________
Time: ____________________________
Name: ____________________________
Phone: ____________________________
Address: __________________________
Credit Card No. : ___________________
I understand that failure to return cake pan(s) will result in the value of that pan(s) to be charged to my credit card.
Signature: _______________________