ORDER FORM

4558
1508 South 1500 East
Salt Lake City, Utah 84105-2808
801-555-9364
PATTY N CAKES SOLD BY:
SPECIALTY CAKE COMPANY
pattycakes.com __________
SOLD TO DELIVER TO

Name: _____________________________________ Name: _____________________________________

Address: __________________________________ Address: __________________________________

City: _________ State: _______ ZIP: ______ City: _________ State: _______ ZIP: ______

Phone: ______________ Time: _______________ Phone: ______________ Time: _______________

DELIVERY INSTRUCTIONS

PAYMENT
Cash Check Visa MasterCard
Card Number: _________________________ Expiration: _____________ CVV: ________

*Payment is due in full at time of order

*ALL CAKES OTHER THAN SPECIALTY CAKE SERVE 10 Each Qty. Price
CACTUS CAKE - white cake with jalapeño cream cheese filling and
butter cream frosting. $75
RASPBERRY BASKET CAKE - white cake with raspberry filling and $45
butter cream filling.
SNAKE CAKE - chocolate cake with cream cheese filling and cream
$65
cheese filling.
SPECIALTY CAKE - See below for specific information. Price varies.
$
SPECIALTY CAKE INFORMATION:
SUBTOTAL

TAX

TOTAL

Fees include travel within the Salt Lake Metro area only.
Fees are for items offered on this order form only. THANK
Patty Cakes Specialty Cake Co. will gladly provide ingredient information
when requested. YOU!
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