RoseCrag

                 Mail Order Form

 
1) Print form;  2) Complete order; 3) Attach check or     
fill out charge slip; & 4) Mail.        
Mail to: RoseCrag, P.O. Box 397, Dandridge, TN 37725      
(865) 397-6844     Fax: (865) 397-7473        
         
# Items         Extended
Ordered Item Ordered  Code  Size   Price   Price
  Family Name Armorial History * A-101  11"x17"  $   22.95  
  Armorial History w/o Coat of Arms * A-102  11"x17"  $   16.95  
  Coat of Arms Family Tree * B-103  11"x17"  $   27.95  
  Anniversary Bond * C-104  8.5"x11"  $   24.95  
  Coat of Arms * D-105  8.5"x11"  $   18.95  
  Scottish Clan History w/Badge * E-106  11"x17"  $   22.95  
  Scottish Clan Badge w/o History * E-107  8.5"x11"  $   15.95  
  Irish Sept History w/Badge * F-108  11"x17"  $   22.95  
  Frame - Antique Gold F-AG17  11"x17"  $   24.50  
  Frame - Dark Walnut F-DW17  11"x17"  $   21.50  
  Frame - Light Oak F-LO17  11"x17"  $   21.50  
  Frame - Smoky Mountain Barnwood F-BW17  11"x17"  $   19.50  
  Frame - Antique Gold & Mat * F-AG14  11"x14"  $   24.50  
  Frame - Dark Walnut & Mat * F-DW14  11"x14"  $   21.50  
  Frame - Light Oak & Mat * F-LO14  11"x14"  $   21.50  
  Frame - Smky Mtn. Barnwd & Mat * F-BW14  11"x14"  $   19.50  
  Poly-Plastic Protective Sleeve F-PPS17  11"x17"  $    5.95  
  Poly-Plastic Protective Sleeve F-PPS11  8.5x11"  $    5.25  
  Haggis by the can * H-301  14.5 oz.  $    7.95  
  Haggis 4-Pak Sampler or Choice * H-302 4 x 14.5oz  $   26.95  
  Haggis Presentation Kit * H-303 7x14.5oz  $   49.95  
  Whisky Cake by the can * H-321  26 oz.  $   16.95  
  Whisky Cake 5-Pak Sampler * H-322 5 x 26 oz.  $   71.95  
  Irish Stew by the can * H-311  14.5 oz.  $    6.95  
  Irish Stew 4-Pak Sampler or Choice* H-312 4 x 14.5oz  $   23.95  
  IRN-BRU 12 Pak  H-331 16.9 fl.oz  $   22.00  
  IRN-BRU Sugar Free 12 Pak H-332 16.9 fl.oz  $   22.00  
  Gardiner's Whisky Fudge * H-341  10.5 oz  $   11.95  
  Whisky Fudge 5-Pak Sampler * H-342 5x 10.5oz  $   49.95  
         Subtotal   
  Mail Order form with check, Money Sales Tax if in Tennessee 9.5%  
  order or Charge information to: Shipping - See Chart Below  
  RoseCrag, P.O. Box 397      Total   
  Dandridge, TN 37725        
*  These items must have more information below to complete order!
           
Charge by Mastercard & Visa Only        
  Mastercard_____  or,  Visa ______        
  Name on Card ____________________________________    
  16 digit Card Number_________________________________________
  Expiration date of Card   Mo._____   Year_____    
  Last 3 digits on signature strip on back__________    
  Billing Address of card__________________________________  
  Sign Here to authorize this charge__________________________________
           
           
         
  Additional Information needed with order of Printed Items
  Family Name for Armorial History _________________________________
  Names for Family Tree - need 2 1.______________  2.______________ 
      & Inscription - 1st Names & Date _________________________________
  Names for Anniversary Bond - (2) 1.______________  2.______________ 
      & Inscription - 1st Names & Date _________________________________
  Family Name for Coat of Arms _________________________________
  Clan Name for Clan Badge & History _________________________________
  Sept Name for Irish Sept  & History _________________________________
  Color of Frame Mat desired ________________