Please print out this form, fill it out and mail it to us at:

Holiday Balsam Wreath P.O. Box 775 Brunswick, Maine 04011

Name: ____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
City: ___________________________________ 
State: _________
Zip: ________________
Phone: ____________________________
Email: __________________________________________________
   
Credit card: __________________________________________________
Exp Date: __________________________________________________
  (Credit card charge will be from Wreaths of Maine)
Personal Checks are not accepted.

ORDER INFORMATION
Quantity Description Price Includes Shipping Total
  Gold Pine Cone and Berries Christmas Wreath $42.00  
  Traditional Pine Cone and Berries Christmas Wreath $38.00  
  White Tipped Pine Cones, Berries & Apples Christmas Wreath $38.00  
  Christmas Wreath with Red Bow $32.00  
  Tear Drop Christmas Balsam Swag $38.00  
  Bow Tie Balsam Swag $38.00  
  Grand Total    

 

 

 

SHIPPING INFORMATION
Item Ordered: ____________________________________________________
Name: ____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
City: ______________________________ State:_________
Zip: ________________
Card   To: ___________________________________________________
From: ___________________________________________________
Item Ordered: ____________________________________________________
Name: ____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
City: ______________________________ State: _________
Zip: ________________
Card   To: ___________________________________________________
From: ___________________________________________________
Item Ordered: ____________________________________________________
Name: ____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
City: ______________________________ State: _________
Zip: ________________
Card   To: ___________________________________________________
From: ___________________________________________________
Item Ordered: ____________________________________________________
Name: ____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
City: ______________________________ State: _________
Zip: ________________
Card   To: ___________________________________________________
From: ___________________________________________________
 

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