Medical Graduation Elegant Temptations Bakery Sale! from 60000 /per Size 3 Tier 3Tier Flavor Vanilla Rum Cake Chocolate Cake Dulce de Leche Rainbow Vanilla Cake Cookies and Cream Cake Qty. Add to Cart This item is currently on backorder but you can still purchase it now and we'll ship as soon as more become available. Custom 3 tier cake with a Medical theme. Please provide name and school at checkout notes.