| 2011 Order Form |
 |
|
| please print this form and mail, fax, or call in order | ||
| 2011 Order Form |
|
|
| please print this form and mail, fax, or call in order | ||
| PAYABLE TO: Laurie's Wreaths 1384 Atlantic Hwy. Warren, ME 04864 TEL. & FAX (207) 273-3818 |
CUSTOMER Name (please print)_________________________________________________Tel._________________ Address(no po boxes)_________________________________________________________________________ City, State, Zip___________________________________________________________________________ Email address (please print)__________________________________________________________________ Number products to be sent to this address: PlainWreaths___Homestead___Original___ Blueberry___ Cone___ Centerpiece___ _Classic___ Garland___ |
|
Quantity |
Description | Price each |
Total Amount |
|---|---|---|---|
| Plain Wreaths (2 per box) | $28.95 | ||
| Homestead Wreath 20" | $ 28.95 | ||
| Original Maine Wreath 22-24" | $ 34.95 | ||
| Maine Blueberry Wreath 22-24" | $ 34.95 | ||
| Cone Wreath | $ 34.95 | ||
| Centerpiece 18-22" across | $ 36.95 | ||
| Classic Wreath 28" | $ 42.95 | ||
| Garland Roping 10' coil | $36.95 | ||
| Total Qty. | subtotal: | $ | |
| Maine residents only please add 5 % sales tax | $ | ||
| Discount on 12 or more wreaths | minus - $ 12.00 | $ | |
| Shipping $ 15.00 per wreath/item |
quantity x $15.00 ea |
$ |
|
| TOTAL AMOUNT DUE with order | $ | ||
|
Please circle the approximate week to ship. 4th week Nov. 1st week Dec. 2nd week Dec. |
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CUSTOMER NAME_____________________________________________________
| PAYMENT METHOD *** Please circle one **** CHECK (mail with order) **** CASH (mail with order)**** MC or VISA (mail or fax) CARD NUMBER_______________________________________________________________ccv#(3 digit on back)__________________ EXPIRATION DATE_____________________NAME ON CARD_____________________________________________________ |
#1 Gift Recipient's Name & Address
Name (please print)________________________________________________Tel._______________
Address(no po boxes)_____________________________________________________________
City, State, Zip__________________________________________________________________
Gift Card(circle one)Seasons Greetings or Merry Christmas, From_____________________________________
Number products to be sent to this address: PlainWreaths___Homestead___Original___ Blueberry___ Cone___ Centerpiece___ Classic___ Garland___
#2 Gift Recipient's Name & Address
Name (please print)________________________________________________Tel._______________
Address(no po boxes)_____________________________________________________________
City, State, Zip__________________________________________________________________
Gift Card(circle one)Seasons Greetings or Merry Christmas, From_____________________________________
Number products to be sent to this address: PlainWreaths___Homestead___Original___ Blueberry___ Cone___ Centerpiece___ Classic___ Garland___
| Laurie's Wreaths | |
| 1384 Atlantic Hwy. Warren, Me. 04864 | Tel. & Fax (207) 273-3818 |
| e-mail: LauriesWreaths | |