Surprise Your Student! Order Form

Whether it’s a birthday, a special accomplishment, exam week or even a simple “I miss you,” we’ll deliver a package from you.
If you would like to order/pay by telephone, please call 1-800-377-2586 with your credit card information. This form is for online payments only.
Student’s Information
* Student’s Name
* Student’s Phone Number
* School Address

Your Information
* Your First Name
* Your Last Name
* Your Telephone Number
* Your e-mail address
Order Information
* Delivery Date
(Sabbath or Sunday dates will be delivered Friday)
* Choose one:
Message in Complimentary Card:

Cake
This item requires a minimum of 2 business days to process.
Would you like to purchase a cake for your student?
(8" round, includes plates, forks, napkins and candles)
Quantity: @ $20.00 = $
Cake Flavors (choose one):
Cake Fillings (choose one):
Cake Icing (choose one):
Preferred Decorating Colors

Student’s Age
Message on Cake:

Care Package
Bouquet of Flowers Quantity: @ $25.00 = $
Fruit Basket Quantity: @ $25.00 = $
Medley Basket
(fruit, cheese, crackers, candy, etc.)
Quantity: @ $30.00 = $
The above items require a minimum of 2 business days to process.
Balloon Bouquet
(3 assorted shapes, colors and messages)
Quantity: @ $8.00 = $
$20 Gift Certificates
Panda Express (College Place) Quantity: @ $20.00 = $
Black Cup Coffee Shop (College Place) Quantity: @ $20.00 = $
Del Taco (College Place) Quantity: @ $20.00 = $
Subway (College Place) Quantity: @ $20.00 = $
Roger’s Bakery & Cafe (College Place) Quantity: @ $20.00 = $
La Casita Mexican Restaraunt (Walla Walla) Quantity: @ $20.00 = $
Starbucks (Walla Walla) Quantity: @ $20.00 = $
Payment Details
Please Select a Payment Method:
We are not able to process International credit card orders through the website.

* Online Payment Options:      
Surprise Your Student! is not available on the Portland Campus. Sponsored by the WWU Alumni Association.
  * Response required