Northeast Wreath Order Form 2007

BUYER INFORMATION
Name:	______________________________	Print and mail to:
Address:	______________________________	NORTHEAST WREATH
City:	______________________________	13 Mooseneck Road
State:	______________________________	Addison, ME 04606
Zip Code:	______________________________	Fax to:	(207) 483-2790
Phone Number:	______________________________	Order by Phone:	1-888-897-3284
PAYMENT INFORMATION
Credit Card Number:	______________________________	Expiration Date:	____________
3-Digit Authorization Code (last 3 digits on signature panel): __________
Check or Money Order Total:	______________________________ (make payable to: NORTHEAST WREATH)

PRODUCT ORDER
Item Number	Product Description	Quantity	Price Each	Total
1.	_________________________________________	_______	__________	__________
2.	_________________________________________	_______	__________	__________
3.	_________________________________________	_______	__________	__________
4.	_________________________________________	_______	__________	__________
5.	_________________________________________	_______	__________	__________
6.	_________________________________________	_______	__________	__________
7.	_________________________________________	_______	__________	__________
GRAND TOTAL $				__________

GIFT SHIPMENT INFORMATION : (Please note, UPS does not ship to P.O. Boxes.)
Item Number(s)	(from above section): __________ Quantity: _______
Ship To Name:	______________________________________________________________
Delivery Address:	______________________________________________________________
City:	______________________________	State: _____________	Zip: _________
Gift Message:	______________________________________________________________________
	______________________________________________________________________
Shipping:	(Standard, Free shipping unless specified) 3-Day Select (+$25) ____ 2-Day Air (+$45) ____
Item Number(s)	(from above section): __________ Quantity: __________
Ship To Name:	______________________________________________________________
Delivery Address:	______________________________________________________________
City:	______________________________	State: _____________	Zip: _________
Gift Message:	______________________________________________________________________
	______________________________________________________________________
Shipping:	(Standard, Free shipping unless specified) 3-Day Select (+$25) ____ 2-Day Air (+$45) ____
Item Number(s)	(from above section): __________ Quantity: __________
Ship To Name:	______________________________________________________________
Delivery Address:	______________________________________________________________
City:	______________________________	State: _____________	Zip: _________
Gift Message:	______________________________________________________________________
	______________________________________________________________________
Shipping:	(Standard, Free shipping unless specified) 3-Day Select (+$25) ____ 2-Day Air (+$45) ____

Orders can be placed through our website, by telephone, fax, or mail. Most major credit cards accepted.
Orders requiring expedited shipping methods cannot be made online.

NORTHEAST WREATH, LLC ~ 1-888-8WREATH (1-888-897-3284) 13 MOOSENECK ROAD, ADDISON, ME 04606

Northeast Wreath Order Form 2007

BUYER INFORMATION

Print and mail to:

Fax to:

Order by Phone:

PAYMENT INFORMATION

PRODUCT ORDER

GIFT SHIPMENT INFORMATION : (Please note, UPS does not ship to P.O. Boxes.)

Orders can be placed through our website, by telephone, fax, or mail. Most major credit cards accepted. Orders requiring expedited shipping methods cannot be made online.

Orders can be placed through our website, by telephone, fax, or mail. Most major credit cards accepted.
Orders requiring expedited shipping methods cannot be made online.