GOURDS ON THE VINE ORDER FORM
GOURD MASTER PRODUCTS
ORDERING IS EASY! Simply complete this form Submit it to us. Or call us with your order at (352) 686-8861
FAX FORM TO (352 688-4650 OR  JACKIE@GOURDSONTHEVINE.COM

First Name Last Name      
     
Prefix Street Name Suffix    
   
City State Zip Code Phone  
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E-mail Address        
     
PAYMENT TYPE Check Money Order
 

FAX FORM TO (352 688-4650 OR JACKIE@GOURDSONTHEVINE.COM

NOTE: YOU WILL RECEIVE AN EMAIL CONFIRMATION

 
   
ITEM # DESCRIPTION QUANTITY PRICE EACH TOTAL
CHOOSE SHIPPING BELOW  

SUB TOTAL
IF YOUR ORDER COMES TO:                                                  SHIPPING AND HANDLING
$0.01 $10.00 $ 4.50
$10.01 $25.00 $ 9.95
$25.01 $75.00 $17.95
$75.01 $150.00 $21.50
$150.01 $250.00 $26.50

 
 
  SHIPPING CHG

 

 GRAND TOTAL