Greens/greens Order Form  

Greens/greens
P.O. Box 350038
Palm Coast, FL 32135

  1. Please provide the following ordering information:                         
    * = required information.
BILLING ADDRESS
*Name

*Address
*City
*State
*Zip/Postal code
Country
*E-mail Address
Home Phone     
Work Phone
** If shipping address is the same as billing please skip this
     section.
SHIPPING ADDRESS
Name
 Address
City
State
Zip/Postal code
Country
Card Expression: (i.e. "Happy Holidays from The Claus Family. )
75 Character Limit.
DESCRIPTION

QTY

PRICE
Decorated Boxwood Tree                    $ 49.95 

Undecorated Boxwood Tree                $ 24.95

Centerpiece                                          $ 34.95

Topiary                                                 $ 39.95

Subtotal:
Florida Residents:  7% Sales Tax
Shipping and Handling within the continental U.S.       $  9.95   per item

Total Charges:
****Delivery date other than the first week in December, 2000

PAYMENT METHOD

*Credit card Type

(Visa, MasterCard, etc.)
*Cardholder name
*Card number
*Expiration date

Additional comments or instructions:

Copyright ©  2000 Greens/greens. All rights reserved.