Garden Plum Enterprises

Garden Plum Enterprises Printable Order Form

Name

___________________________________________________

Phone

(_____) _____-_________x_____

E-mail Address (if any)

___________________________________________________

Billing Address

___________________________________________________

City___________________________ State _______ Zip _________

Shipping Address

___________________________________________________

City___________________________ State _______ Zip _________

Method of Payment

VISA	MasterCard	Discover	Am Express	Check	Money Order
Account #: ___________________________________________________________________
Authorized Signature ___________________________________________________________
Expiration Date: / (Month/Year) CVV2 Code: (the last three digits of a printed number on the back of your card, or for Amex, the four digits on the front of the card.)

Item Name & Description	Price Ea.	Quantity	Total








Subtotal $_______.___ Shipping & Handling + $4.95 Total This Order $_______.___ Comments: Print out this form and mail it to: Garden Plum Enterprises 630 Reservoir Dr. Weare, NH 03281 you may also fax this form to (603) 413-6213 Questions? Call 603-413-6213 Monday-Friday, 9am-5pm. Don't forget to include your payment. Currently we do not accept orders outside the U.S.