SAM’S CLUB FRESH BAKERY SPECIAL CAKE ORDER FORM Order must be made in person at your local Sam’s Club – Order will not be placed online. Additional flavors and varieties may be available. Please check with your local club.

Order must be made in person at your local Sam’s Club – Order will not be placed online. Additional flavors and varieties may be available. Please check with your local club.

August 2015

1. SIZE (Choose 1)

10” ROUND CAKE Serves 12-16

1/2 SHEET CAKE Serves 36-48

FULL SHEET CAKE Serves 72-96

CUPCAKES – 30 COUNT

1/2 SHEET CAKE / CUPCAKE COMBO Serves 64-76

CUPCAKE CAKE Serves 30

(Not available for all items)

COOKIE CAKE Serves 36-48

5” Cake/ 10 Cupcakes Serves 14-16

2a. CAKE FLAVOR (Choose 1)

White or Chocolate – (10” Round, ½ Sheet and Full Sheet Available) Marble – (Available in ½ Sheet and Full Sheet Only)

2b. CUPCAKE FLAVOR (Choose 1)

White Chocolate White/Chocolate Mixed

3. ICING (Choose Whipped Icing or But-R-Crème Icing)

WHIPPED ICING White Chocolate

BUT–R–CRÈME White Chocolate

Border Color: Border Color: Flower Color: Flower Color:

Balloon Color: Balloon Color: Color Choices: Red, Orange, Yellow, Green, Pink, Light Blue, Dark Blue, Lavender, Green Mist, Pink Petal, Spring Yellow

Color Choices: Asparagus Green, Holiday Green, Pink Thread, Hot Pink, Light Blue, Royal Blue, Purple, Red, Neon Orange, Amaryllis Yellow, Yellow, Bright Green, Coral, Teal

4. WRITING ON CAKE (Please print clearly)

5. DECORATION (Choose 1 from lists below)

Every Day Celebrations Special Occasions Characters Seasonal

Enter design name from Cake Book Enter design name from Cake Book Batman Fall Leaf Rings

DESIGN NAME: _______________ DESIGN NAME: _______________ Cars – McQueen & Mater Pumpkin and Leaves Pop Top

_____________________________ _____________________________ Disney Princess

Dora the Explorer

Frozen

Hello Kitty

Jurassic World

My Little Pony

Sesame Street

Edible Decorations Spider Man

Enter design name from Cake Book

SpongeBob SquarePants

DESIGN NAME: _______________ Super Mario

_____________________________ Teenage Mutant Ninja Turtles

Toy Story 3

Transformers

6. MEMBER INFORMATION (Please print clearly)

Member Name:

Pick Up Date:

Daytime Phone Number:

Pick Up Time:

Evening Phone Number:

Order Taken By: