| (814) 238-9418 FAX Order Form Print it out. Fill it out. FAX it out! | |
| Woodring's is happy to accept FAX orders at anytime for deliveries to the United States and Canada. This form is provided as a service of Woodring's to assist you with your ordering. Simply print out the form, fill in the necessary information and FAX to Woodring's at (814) 238-9418. Orders will be processed during store operating hours only. | |
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| Please print or type clearly. | |
| * Items preceded with an asterisk ( * ) are REQUIRED INFORMATION | |
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| STEP 1 - What you want to order | |
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| *Product Number (i.e. FA-001) | ______________________________ |
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| Product Description | ______________________________ |
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| *Quoted Price (i.e. $35.95) | ______________________________ |
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| Add Balloons? ('X' your choice) | ____ add $6 in balloons |
| ____ add $10 in balloons | |
| *Occasion | ______________________________ |
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| *Requested Delivery Date | ____/____/________ |
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| Best Time for Delivery (i.e. AM/PM, after 2) | _________________ |
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Timed Delivery (this additional charge is for deliveries needed within a specific time frame, such as between 1pm and 2pm) |
____ add $5 |
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>> QUESTION: What if my recipient is not available? Click for the answer. |
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| Special Instructions (pertaining to the product, delivery, etc) | ______________________________ |
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| Card Message | ______________________________ |
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| Card Message Signature (i.e. Love, John; Jane) | ______________________________ |
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| STEP 2 - The recipient of your order | |
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| *Name (first and last) | ______________________________ |
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| *Street Address | ______________________________ |
| (include business name or apartment/office number) | ______________________________ |
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| *City | ______________________________ |
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| *State or Province | ______________________________ |
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| Zip Code | _________________ |
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| *Telephone Number | ____-____-_____ |
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| STEP 3 - Billing Information | |
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| Complete OPTION 1 if you are using a credit card | |
| Complete OPTION 2 if you are using a Woodring's Account | |
| For whichever option you choose please provide all of the requested information | |
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| OPTION 1 - Bill to Credit Card | |
| Credit Card (we accept VISA, MasterCard, American Express, & Discover) | _________________ |
| Credit Card Number | ______________________________ |
| Credit Card Expiration Date | ___/______ |
| Cardholder's Name | ______________________________ |
| Cardholder's Telephone Number | ____-____-_____ |
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| OPTION 2 - Bill to Woodring's Account | |
| Account Name (first and last) or Account Number | ______________________________ |
| Account Telephone Number | ____-____-_____ |
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| STEP 4 - Optional Information | |
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| Please notify me that my order was received by Woodring's. ('X' for notification request) | ____ PLEASE NOTIFY ME using the contact information below. |
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FAX @ |
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| Attn: ______________________________ | |
Phone @ |
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Email @ |
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| How did you hear about woodringsfloral.com? | ______________________________ |
| Comments, Questions, or Suggestions | ______________________________ |
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We will take excellent care of your order. |
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Thanks for shopping Woodring's @ woodringsfloral.com |
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FAX: (814) 238-9418 |
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Woodrings Floral Gardens - Flowers, Weddings, Bouquets, Plants, Fruits, Silk, Dried - State College, Bellefonte
