Queen Victoria® Gift Shop Order

Please print and complete this form, then mail to the address at bottom.

Quantity ____	Porcelain Lighted House	@ $39.99	________
Quantity ____	Queen Victoria® Still Life	@ $19.95	________
Quantity ____	Cookbook	@ $  7.95	________
Quantity ____	Queen Victoria® Afghan	@ $59.95	________
Quantity ____	Queen Victoria® Sweatshirt	@ $39.99	________
Quantity ____	Queen’s Polo Golf Shirt	@ $29.95	________
Quantity ____	Queen Victoria® Coffee Mug	@ $10.95	________
Quantity ____	Queen Victoria® Crock	@ $  9.95	________
Quantity ____	Queen’s Bathtub Soap Dish	@ $16.95	________
	Subtotal		________
New Jersey Residents, please add 7% sales tax			________
Postage and Handling (see below)			________
Postage and Handling for orders up to $20.00 add $5.00 Postage and Handling for orders over $20.00 add $10.00 Postage and Handling for orders over $50.00 add $20.00
	TOTAL ORDER		________

We prefer personal checks, please make payable to The Queen Victoria. You may use your ( )Mastercard or ( )Visa:

________-________-________-________

Expiration Date __________

PLEASE PRINT NAME AND ADDRESS BELOW

Name _______________________________________________

Mailing Address _______________________________________

City ____________________________ State____ ZIP ________

Mail to: The Queen Victoria® 102 Ocean Street Cape May, NJ 08204 For secure ordering, please do not email your credit card number to us.