Text Box: Daytime Phone Number_______________________________________________ Text Box: GARDENS OF THE BLUE RIDGE INC Text Box: PO Box 10 Pineola NC 28662 Text Box: Christmas Order Form Text Box: Phone: 828-733-2417 Fax: 828-733-8894 E-mail  contact@gardensoftheblueridge.com www.gardensoftheblueridge.com Text Box: Bill To: (Please Print) Text Box: ____Check Enclosed ____Visa ____MC ____AE ____Disc Text Box: Card Number_______________________________________ _________________________________________ Text Box: Exp Date _______ Text Box: Signature__________________________________ _____________________________________ Text Box: Desired Week  Of Delivery (Please Circle One)        11/17     11/24    12/1    12/8   12/15   12/21 Text Box: If you would like to send some items as gifts please print or make copies and use one for each gift you would like to send. Text Box: Name: Text Box: Address: Text Box: City: Text Box: State: Text Box: Zip: Text Box: V Code Number:__________

Text Box: Please Include Your V Code Number , It Is The Last 3 Digits On the  Back Of Card Where Your Signature Is.

Text Box: Name: Text Box: Address: Text Box: City: Text Box: State: Text Box: Zip: Text Box: Ship To: (If Different From Bill To)

Text Box: E mail Address:______________________________________________________

Text Box: Please include a phone number or e-mail address in case we have questions abut your order.

 

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Item Totals

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If you are  North Carolina residents add 6.75% sales tax on Item Totals here

Sales Tax NC Residents

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Shipping and Handling

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