Order Form
| Please
print and fill out, and send along with your check or credit card
information to: W. Eugene Burkhart, Jr. P.O. Box 407 Blandon, PA 19510 When ordering Pressed Flower Wedding Invitations, please send wedding invitation and color choices for plant material. |
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| Name: | _______________________________________________________ |
| Address: | _______________________________________________________ |
| City: | _______________________________________________________ |
| State: | ___________ |
| Zip Code: |
_______________________ |
| Item# |
Description |
Frame Color (Gold, Oak Walnut, White & Silver) |
Mat Color: | Price |
|
Please note: White
frame is available for Original designs only. Silver frame is available for Wedding Invitations only. |
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| Sub-Total: | ___________ | |||
| Tax (if in PA:) | ___________ | |||
| Shipping (Please add 20%): | ___________ | |||
| Grand Total: | ___________ | |||
| Payment: |
Check Make checks payable to: W. Eugene Burkhart, Jr. P.O. Box 407 Blandon, PA 19510
Visa
MasterCard |