Professional Documents
Culture Documents
2014 Poinsettia Order Form
2014 Poinsettia Order Form
Name/Business:
Address:
Phone:
Name
Red
Marble
Monet
Pink
Burgandy
TOTAL
Red
Glitter
White
Cinamon
22" Fraser
Cost Per
Total #
Cost Per
Fir w/
Noble
Poinsettia Poinsettia Cones/Wr
Wreath
eath
0
Cash
Checks Payable to BJWC
MasterCard, Visa, Discover &
American Express
$12.00
20"
Boxwood
Wreath
$19.90
0
Cost Per
Boxwood
$19.50
0
Method of
Payment*
$10.50
0
Total $
Amount
$0.00
$0.00
Name on Card
CVC
Poinsettias
Noble Fir
Boxwood
Pine Roping