Celebration Cake Order Form Celebration Cake Menu Emporium Signature Layered torte of flourless chocolate sponge, Valrhona Tainori Mousse, Sour cherry jelly, cocoa nib crème brulee, vanilla cream. (gf, nr, r) Small (4 people) $35 Large (10 people) $75 Lemon Meringue Cheesecake Lemon and vanilla cheesecake, Tart lemon curd, Italian meringue (nf, r) Small (4 people) $30 Large (10 people) $60 Pistachio & Orange Blossom Persian Love Cake Cardamom & nutmeg spiced pistachio & polenta cake, orange blossom syrup, whipped cream cheese, marinated figs, rose petals (gf, r) Small (4 people) $30 Large (10 people) $60 Salted Caramel Cake Salted caramel sponge cake, white chocolate & crème fraiche ganache, caramel drip, miso caramel popcorn, pretzel (nf, r) Small (4 people) $30 Large (10 people) $60 (GF) Gluten free (NF) Nut free (R) Cake requires refrigeration 30-45minutes from collection *Special cake orders are available on request- please note we do not offer fondant icing. Location: Belle Epoque Conference & Events External Signature Piano Bar ISD The Terrace Guest Name/Function: Date Required: Time Required: Number of People: Mobile Number: Email: Dietary Requirements: Cake Option: Emporium Signature Lemon Meringue Cheesecake Love Cake Salted Caramel Cake Cake Size: 2-4 people 6-8 people 8-10 people Message on Cake: Candles required (writing can be done on request on chocolate discs, etc.) 267 Grey Street, South Bank, QLD 4101 PO Box 5877, West End, QLD 4101 07 3556 3333 | emporiumhotels.com.au abn 89 621 364 994 Payment Options **Full Pre-Payment Required** To secure my cake order I, , the card holder hereby authorises Emporium Hotels the use of this credit card. Credit Card Number: / / / Expiry Date: / Card Type: VISA / MASTERCARD / AMEX / DINERS These are the only cards accepted at Emporium Hotel Amount to be paid in $: Name of Card Holder: Signature of Card Holder: PAYMENT SURCHARGES 1% surcharge applies for Mastercard and Visa | 2.75% surcharge applies for AMEX | 2.93% surcharge applies for Diners 15% Surcharge applies on public holidays **Cancellation Policy** If you cancel less than 24 hours prior to your collection date and time a cancellation fee of the total payment will be kept. Signature to confirm all above details are correct: 267 Grey Street, South Bank, QLD 4101 PO Box 5877, West End, QLD 4101 07 3556 3333 | emporiumhotels.com.au abn 89 621 364 994 .