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GRANSTROM EVERGREENS Corporate Gift Order Form 2007 Season |
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www.granstromevergreens.com |
(503)
666-7896 Fax:
(503) 618-0526 granstrom@comcast.net |
COMPANY
CONTACT PERSON
ADDRESS
CITY/STATE/ZIP
PHONE FAX
E-MAIL
Method of Payment (Circle One): Check
Visa MasterCard
CC Number: _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ EXP: __ / __ / __
Name on Card:
Signature:
Address this card is billed to:
ITEM
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QUANTITY |
PRICE
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TOTAL COST |
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SWAG-UPS |
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18” WR-UPS |
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22” WR-UPS |
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25’ |
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$40.00 |
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Special Order Item: |
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|
TOTAL QUANTITY |
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TOTAL COST
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Office
use only: |
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Authorization
Code: |
Received
on: |
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Billing
date: |
Shipped on: |