ORDER FORM

8955 FM 39 N        Normangee, TX 77871        936-396-6636

ORDERS WITHOUT A DELIVERY DATE WILL BE SHIPPED IMMEDIATELY!

Item Description	Item #	Price Each
1/2 lb. Country Mini-loaf Fruitcake	021	$6.00
1 lb. Country Loaf Fruitcake	022	$12.00
3 lb. Country Fruitcake Ring	024	$30.00
3 lb. Country Texas Fruitcake	025	$30.00

DESIRED DELIVERY	CUSTOMER   NAME and ADDRESS	ITEM #	QTY.	PRICE	TOTAL
Immediately   Thanksgiving   Christmas   Other Date        ___/___/___	Name _________________________________ Street Address _______________________ ______________________________________ City _________________________________ State ___________  Zip _______________ e-mail Address _______________________ Greeting _____________________________ ______________________________________
		SUB-TOTAL			$
DESIRED DELIVERY	SEND GIFTS TO:	ITEM #	QTY.	PRICE	TOTAL
Immediately   Thanksgiving   Christmas   Other Date        ___/___/___	Name _________________________________ Street Address _______________________ ______________________________________ City _________________________________ State ___________  Zip _______________ e-mail Address _______________________ Greeting _____________________________ ______________________________________
		SUB-TOTAL			$
DESIRED DELIVERY	SEND GIFTS TO:	ITEM #	QTY.	PRICE	TOTAL
Immediately   Thanksgiving   Christmas   Other Date        ___/___/___	Name _________________________________ Street Address _______________________ ______________________________________ City _________________________________ State ___________  Zip _______________ e-mail Address _______________________ Greeting _____________________________ ______________________________________
		SUB-TOTAL			$
DESIRED DELIVERY	SEND GIFTS TO:	ITEM #	QTY.	PRICE	TOTAL
Immediately   Thanksgiving   Christmas   Other Date        ___/___/___	Name _________________________________ Street Address _______________________ ______________________________________ City _________________________________ State ___________  Zip _______________ e-mail Address _______________________ Greeting _____________________________ ______________________________________
		SUB-TOTAL			$

 Check Enclosed (Payable to Country Fruitcakes,etc.)

Daytime Phone:  (         )  _________________________   (In case there is a problem with your order)

SHIPPING and HANDLING: Postage Charge for Priority Rate delivery within the U.S. is $9.00 per 3-lb cake ordered or $6.00 per 1-lb cake ordered. Please inquire for delivery charges outside the U.S.

Total Of Items from previous page	$
Postage Charge $9.00 ea. 3-lb cake	$
Outside U.S. Shipping	$
TOTAL AMOUNT	$

Thank You For Your Order!  Before sealing, did you remember to:

Enclose Your Signed Check   
Specify Item Number and Quantity           Name, Address and Zip Code
Daytime Phone Number