MacAlpine Tea Cakes

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? ____________________ __________________________________________________________