Effective Date-July 1, 2005
Georgia Fruit Cake Co.
5 South Duval St
Claxton, Georgia U.S.A. 30417-2027

Phone:(912) 739-2683 Fax:(912) 739-3419

INSTRUCTIONS
1. Please print or type.
2. Be sure all addresses are complete and legible.
3. Enclose and sign remittance or complete the proper
billing instructions below.
4. To avoid excessive chrges to remote US regions, we may ship US Postal Service in lieu of UPS. We do NOT ship to Canada at this time.

Prices USA & APO/FPO ONLY Applicable Tax & Shipping is Included
ITEM#
Description
Unit Price
Quantity
Amount
1
 FOUR ONE POUND CELLOPHANE WRAPPED GA FRUIT CAKE
32.00
    
2
 TWO POUND CELLOPHANE WRAPED GEORGIA FRUIT CAKE
19.50
    
3
 TWO POUND VACK PACK (CAN) GEORGIA FRUIT CAKE
20.50
    
4
 TWO POUND VACK PACK (CAN) WOMBLE'S FRUIT CAKE AGED IN KENTUCKY BOURBON
21.50
    
5
 TEN ONE POUND CELLOPHANE WRAPPED GEORGIA FRUIT CAKES
62.00
(Case)
   
6
 FIVE TWO POUND CELLOPHANE WRAPPED GEORGIA FRUIT CAKES
62.00
(Case)
   
Please enclose Check Money Order Credit Card

Name:
Address:
City:
State:
Zip:
Ordered By:
Total
  
 

Daytime Phone No:

Amount Enclosed:

Credit Card No.
exp.
Signature:
Shipping Address
Item#
Quantity
Ship To
 Sign Gift Card: If no Card Write None
    Name:
    Street: From
    City:
    State:
    Zip: