Sexy Bloomers - SCNOP Order Form GIFT WRAP

GIFT WRAPPING ONLINE ORDER FORM:

DISCOVER.GIF (1839 bytes)

NEED AN ITEM GIFT WRAPPED?

Fill out the form with your INFORMATION And punch Send
GIFT WRAPPING IS $2.99 PER PACKAGE!

TELL US WHAT TO WRAP - WHAT YOU WANT ON THE CARD -
AND WHERE WE ARE SENDING IT!

GIFT WRAPPING REQUEST FORM
Gift Wrapping? How Many?

What is your name?

Address?

City?

State?

Zip Code?

E-mail address?

PACKAGE 1
name?

Address?

City?

State?

Zip Code?

MESSAGE?

PACKAGE 2
name?

Address?

City?

State?

Zip Code?

MESSAGE?

PACKAGE 3
name?

Address?

City?

State?

Zip Code?

MESSAGE?

THIS FORM WILL SECURELY
ACCEPT YOUR CREDIT CARD NUMBER,
-- THANK YOU!
Your Number?

Expiration?

Cvc 3 digit number on card back? - now required!

Telephone?

INVOICE MY PAYPAL ACCOUNT?
INVOICE MY PAYPAL ACCOUNT?
Yes Please?

MY E-mail address?

I WILL PAY VIA MONEY ORDER

Thanks

South Creek Nursery of Palmyra
P.O. Box 252 | Palmyra, New York 14522
Telephone: (315) 597-5330
Fax: (315) 597-6892