2011 Wreath Order, Christmas Wreaths, PO Box 10, Orland ME  04472
-----  Be sure to include
both pages of this form,  the addresses and the price totals -------

FROM: (Your information)  Name_____________________________________________
Phone ( ___ ) ____________________
Street____________________________________ Apt. ______________________
City______________________________________ State ______ Zip ___________
___ VISA       ___ MASTERCARD
        Card #________________________________        Exp. Date _______________
        Signature______________________________
___ CHECK OR MONEY ORDER
SEND ME:      ______ # DECORATED Wreaths;             _____  # UNDECORATED Wreaths
Single Centerpieces:    ______ #Red,   ______ #White 
Triple Centerpieces  :  ______ # Red,  ______ #White 



SEND: (Gift information)
______ # DECORATED Wreaths ;            _____  #  UNDECORATED Wreaths
Single Centerpieces:    ______ #Red,   ______ #White 
Triple Centerpieces  :  ______ # Red,  ______ #White 
TO:  NAME_________________________________________ PHONE:  (____)  ____-______
        STREET_________________________________ APT. __________________________
        CITY___________________________________ STATE ___________ ZIP __________
   GIFT CARD:  _____  Happy Holidays         _____  Merry Christmas

SEND: (Gift information)
______ # DECORATED Wreaths ;            _____  #  UNDECORATED Wreaths
Single Centerpieces:    ______ #Red,   ______ #White 
Triple Centerpieces  :  ______ # Red ______ #White 
TO:  NAME_______________________________________ PHONE:  (____)  ____-______
        STREET_________________________________ APT. __________________________
        CITY___________________________________ STATE ___________ ZIP __________
   GIFT CARD:  _____  Happy Holidays         _____  Merry Christmas
SEND: (Gift information)

______ # DECORATED Wreaths ;            _____  #  UNDECORATED Wreaths

Single Centerpieces:   
______ # Red,  ______ # White 
Triple Centerpieces  :  ______ # Red,  ______ # White 
TO:  NAME______________________________________
__ PHONE:  (____)  ____-______
        STREET_________________________________ APT. __________________________
        CITY___________________________________ STATE ___________ ZIP __________
     GIFT CARD:  _____  Happy Holidays         _____  Merry Christmas

Retail Prices (Lower 48 states only) (Includes shipping and handling)


2011 Wreath Order
Decorated $29.95
Undecorated $21.95
Single Centerpiece $25.95
 Triple Centerpiece  $34.95


Quantity
Product
@ Price
=
$ Total
_________
DECORATED WREATHS $29.95 = _____________
_________
UNDECORATED WREATHS
$21.95 = _____________
_________ SINGLE CENTERPIECES 
$25.95 = _____________
_________ TRIPLE  CENTERPIECES 
$34.95 = _____________

MAINE residents, please Add 5% Sales Tax.
TAX
=
_____________

ORDER    TOTAL: TOTAL:
=
_____________




2011 Wreath Order,
h.o.m.e.  Wreaths
 PO Box 10
Orland ME  04472

tel:  207-469-7961
fax:  207-469-1023

-----  Be sure to include
both
pages of this form:  the addresses and the price totals -------