Print this form and mail or fax it to us.
MacAlpine Tea Cakes
Dept W1
P.O. Box 260
Bluemont, VA 20135

(800) 897-5075
(540) 955-0803
Fax: (540) 955-0806
E-mail: masterchef@teacakes.com



Your Name: ______________________________________________________

Telephone: ( ______ ) __________________________________

Street: ___________________________________________________________

City: _________________________________________ State: ______ Zip: _________


Date to arrive: _________________________________


Type of Cake
Number
Amount
Cherry Whisky Cake
Blended Scotch @ 18.00
X
______
__________
@ 22.00 (with tin)
X
______
__________
Single Malt: Highland@ 22.00
X
______
__________
@ 26.00 (with tin)
X
______
__________
Single Malt: Islay@ 22.00
X
______
__________
@ 26.00 (with tin)
X
______
__________
Loch Lemon Cake@ 18.00
X
______
__________
The Chocolate Bog@ 18.00
X
______
__________
The Nessie@ 18.00
X
______
__________
Thistle Cakes (cookies)@ 20.00
X
______
__________
Subtotal:
__________
Virginia residents add tax @ 4.0%
__________
Shipping and handling (USA)@ 6.00 per item
X
______
__________
Please contact us for shipping rates outside the United States.
Total:
__________



To pay by check, make checks payable to MacAlpine Tea Cakes. To pay by credit card, please complete this section. The address to which your statement is sent must be provided above.

Type of credit card:
______ American Express
______ Discover
______ Master Card
______ Visa

Your name exactly as it appears on the card: __________________________________________

Account Number: ____________________________

Expiration Date: Month _______ Year _______

Signature: _______________________________________________________________




If you would like us to ship a cake to someone else, please enter the address here:

1.Ship To: ______________________________________________________

Telephone: ( ______ ) ____________________________________

Street: ___________________________________________________________

City: _________________________________________ State: ______ Zip: _________

Date to arrive: _____________ Kind of cake: __________________

What would you like us to say on a gift card? ____________________

__________________________________________________________
2.Ship To: ______________________________________________________

Telephone: ( ______ ) ____________________________________

Street: ___________________________________________________________

City: _________________________________________ State: ______ Zip: _________

Date to arrive: _____________ Kind of cake: __________________

What would you like us to say on a gift card? ____________________

__________________________________________________________
3.Ship To: ______________________________________________________

Telephone: ( ______ ) ____________________________________

Street: ___________________________________________________________

City: _________________________________________ State: ______ Zip: _________

Date to arrive: _____________ Kind of cake: __________________

What would you like us to say on a gift card? ____________________

__________________________________________________________

2002 MacAlpine Tea Cakes. All rights reserved.

Last updated on 04/12/2002