Printable Order Form

Vine Wreath Creations Order Form

Print this form to complete the order and send it a long with your money order. made payable to:

Vine Wreath Creations C/o Aaron Breckenridge 699 Simon Kenton Avenue Maysville, Kentucky 41056

Qty	Item Name and Number	Wreath Size 18" or 24"	Price
.	.	.	.
.	.	.	.
.	.	.	.
.	.	.	.
.	.	.	.
.	.	.	.
	Shipping & Handling $20.00 to $40.00 = $8.00 $40.01 to 60.00 = $9.75 $60.01 to $75.00 = $12.75 $75.01 to $90.00 = $13.00 $90.01 to $125.00 = $15.50 $125.01 and over = $19.00	Shipping & Handling	$
		Total Order	$

Customer Shipping Information

Customer Name:
Address:
City:	State:		Zip:
Home Phone:		E-mail:
Customized Requests:
Return within 30 days for refund, minus shipping charges

Please Allow 2 to 3 weeks for deliver from the date your money order received.