Faxable Order Form
|
| Name:____________________________________________________________________ |
| Address:__________________________________________________________________ |
| __________________________________________________________________________ |
| E-Mail:_________________________________________Phone:(____)_______________ |
Payment Information
|
| Mastercard:Visa:Credit Card
#:________________________Exp Date:__/__/__ |
| Check: Check's Payable
to G.A.L.S. Flowers, Fax Orders to: 973-667-7963 or |
Mail Orders to:
G.A.L.S. Flowers
21 Entwistle Avenue
Nutley, NJ 07110 |
| Item Description |
Item Number |
Flower Color |
Price |
Quanity |
Amount |
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| Any Special Instructions:______________________________ |
Subtotal: |
|
| __________________________________________________ |
|
|
| |
|
NJ Residents 6% Sales Tax: |
|
|
Shipping |
|
|
Shipping: |
|
|
under $50 - $6.00 |
|
|
Total: |
|
|
$51-$100 - $7.00 |
Wedding Invitations and Checks send to: |
|
$101-$200 - $8.00 |
G.A.L.S. Flowers |
|
$201-$300 - $9.00 |
21 Entwistle Avenue |
|
over $301 - $10.00 |
Nutley, NJ 07110 |
|
Orders are shipped via UPS. Return or exchange within
30 days. $20.00 fee for returned checks |
|