Bronjour’s Kitchen Event & Order Cancellation Form
Submit order cancellations, provide event head counts, and review liability agreement terms.
Customer Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you submitting an order cancellation or providing an event head count?
*
Order Cancellation
Event Head Count
Order Number or Event Reference
*
Reason for Order Cancellation
Event Name
Event Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Number of Attendees (Head Count)
Liability Agreement Terms: By submitting this form, you acknowledge and agree that Bronjour’s Kitchen is not liable for any unforeseen circumstances, accidents, or damages related to your event or order. Please read the full terms and conditions on our website.
Signature
*
Submit
Submit
Should be Empty: