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The Heirloom Garden of Maine Order Form
512 North Ridge Road, Montville, ME 04941
207/342-2116 ~
www.theheirloomgarden.com ~ info@theheirloomgarden.com |
Pick
up orders please circle pickup date |
Shipping orders please circle shipping date |
| Name: |
26
Nov. |
28
Nov. |
| Address: |
3
Dec. |
5
Dec. |
| Email: |
10
Dec. |
12
Dec. |
| Phone: |
17
Dec. |
19
Dec. |
| For credit card
numbers, please write your card number, expiration and 3-digit security code
below: |
Other:___ |
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| Quantity |
Item # |
Description |
Price each |
Total |
| We place these items
on the order form which have a selection of bow colors. Otherwise,
please indicate your selections below. |
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1001 |
24” double-faced wreath
ð
red ð
burgundy ð
ivory ð
mauve |
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1002 |
36” double-faced wreath
ð
red ð
burgundy ð
ivory ð
mauve |
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1003 |
24” Forest Garden
wreath
ð
red ð
burgundy ð
ivory ð
mauve |
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1004 |
36” Forest Garden wreath
ð
red ð
burgundy ð
ivory ð
mauve |
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1005 |
Set 2 window wreaths
ð
red ð
burgundy |
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1006 |
Set 4 window wreaths
ð
red ð
burgundy |
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1009 |
Kissing Ball
ð
red ð
burgundy |
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shipne |
Shipping wreath to ME, NH, VT, MA, RI, CT |
$ 15 |
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shipe |
Shipping wreath
east of the Mississippi River |
$ 20 |
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shipw |
Shipping wreath
west of the Mississippi River |
$ 25 |
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Subtotal, above |
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If ordered by 11/19/11 less discount 5%: |
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Add Maine
sales ax (5%) |
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Payment
sent or amount charged to card today: |
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