Holiday Wreath Order Form
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Wreath 1
Enter description
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
Small (12 Inches)
Medium (18 Inches)
Large (24 Inches)
Wreath 2
Enter description
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
Small (12 Inches)
Medium (18 Inches)
Large (24 Inches)
Wreath 3
Enter description
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
Small (12 Inches)
Medium (18 Inches)
Large (24 Inches)
Wreath 4
Enter description
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
Small (12 Inches)
Medium (18 Inches)
Large (24 Inches)
Wreath 5
Enter description
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
Small (12 Inches)
Medium (18 Inches)
Large (24 Inches)
Wreath 6
Enter description
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
Small (12 Inches)
Medium (18 Inches)
Large (24 Inches)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Order Type
Delivery
Pickup
Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pick up Date & Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Is it a Gift?
Yes
No
Recipient Name
First Name
Last Name
Gift Message
Special Instructions
Payment Methods
Debit or Credit Card
1
Choose from one of the PayPal options to
make your payment.
Submit
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