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Place an order using one of the following methods 1. Print this entire page, fill in the applicable information, and fax to 248-539-3751. You will receive a response within 24 hours. 2. Print page, fill out information and call 248-224-2117 to place order. 3. Open the following document in Microsoft Word: orderform.doc. Fill out the form with the applicable information and save to your computer. Attach completed document to email and send to corkscrew@wine-roses.com.
Total Order Place X on line
___1 Dozen Roses ($49.99) ___2 Dozen Roses ($65.99) ___3 Dozen Roses ($89.99)
Add-ons :___Small 4-piece box of Godiva Chocolates ($8.00) ___large 9-piece box of Godiva chocolates ($20.00) ___Small bag Rose Petals ($10.00) ___Large bag rose petals ($18.00) ___3 Scented Votive Candles ($10.00) ___3 Unscented Votive Candles ($10.00) #___Add’l Votive ($3.50) Custom requested items (Custom flowers, custom vases): Size arrangement: Small = $25-$60 Medium = $60-$100 Large = $100 - $150 Premium = $150 + _______________________________________________________________________________ Handmade Accessories Please visit http://www.wine-roses.com/products for full description of promotional items.-Serving
trays or galvanized items, take $20.00 off total order -Glass
vases (excludes bud vases), take $15.00 off total order -Bud vases, take $5.00 off total order Please write in item and price. Wine & Roses’ items include tax. Note: There must be someone to receive the flowers at time of delivery. Delivery Date: Delivery Address: Delivery time (circle one) 11a-3p or 3p-7p
Phone number: Recipient Name: Message: Special Instructions: Payment options (circle one) Visa Mastercard Check (payable to Wine & Roses, LLC) *Your name: _____________________________ *Credit Card #_______________________exp___/___ *Verification #(last 3 digits on back of card) ____Signature: _________________________________________________________________ Package Cost: $______ Tax $______ (MI tax is 6pct)% Billing Address (including ZIP)_____________________________________________Total charged to card:____________________ Please Fax order to 248-539-3751, or email order to corkscrew@wine-roses.com. For phone orders, please call 248-224-2117. Confirmation of order will be sent within 24 hours. Full payment is due upon receipt of final order. Order now to receive this promotion! |
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Wine & Roses, LLC
Send mail to corkscrew@wine-roses.com with
questions or comments about this web site.
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