Heart of Heaven Gifts
CUSTOMER INFORMATION
Name:_________________________________________
Address:_______________________________________
City, State, Zip:__________________________________
Email Address:___________________________________
ORDERING INFORMATION:
Item:_____________________________________________________________________
Description:________________________________________________________________
__________________________________________________________________
_________________________________________________________
_________________Qty:__________________ Price:______________________
size:____________________
ribbon color:__________________________________________________
Flower color:_____________________________________
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Shipping is as follows: for florals shipping is $12.50 on any one floral.Any more than one
additional $2.50 for each floral.
Pet portrait shipping costs:
$16.95
N.Y. Res. Only Sales Tax 9.25%:________
Total Due:_________
Method of payment
We accept personal checks for mail orders make check payable to:
Heart of Heaven Gifts
9495 Sessions Rd.
Sauquoit,N.Y.13456
To order please print out order form,
make check payable to: Heart of
Heaven Gifts
and mail this form with payment to
the address at the end of this
order form!
Thank You for your order!