printable order form

Harttwood Rosette and Plinth Block Order Form

Date:_________
Harttwood
P. O. Box 59 Wallagrass, ME 04781
Phone: (207) 834-3824 Fax: (207) 834-4149
E mail: harttwood@roadrunner.com
Web site: www.harttwood.com

Name:________________________________________________

Street address:__________________________________________

Mailing address:_________________________________________

City:________________________________ State:_____ Zip/Postal code:___________

Phone:______________________E mail:_____________________________________

Payment method:_________________________________(check,money order,credit card or COD)

** To purchase by Credit Card, please fill in the following**
Visa [ ] MasterCard [ ]

Name on Credit Card:______________________________________________________________

Credit Card Number:__________________________________________ Exp. Date:_____________

Rosette Corner Blocks

Quantity	Standard size	Custom size	ID#:	Species	Pattern#	Price	$$ Total
.	.	.	.	.	.	.	.
__________	__________	________	________	_________	_________	_________	_________
.	.	.	.	.	.	.	.
__________	__________	________	________	_________	_________	_________	_________

Plinth Blocks

Quantity	Standard size	Custom size	ID #	Species	Pattern #	Price	$$ Total
.	.	.	.	.	.	.
________	________	________	________	________	________	________	________
.	.	.	.	.	.	.	.
________	________	________	________	________	________	________	________

.	.	.
Shipping & Handling Charges:	Sub total	________
	.	.
$1.00 - $50.00 = $8.50	Maine residence add 5%	________
$50.01 - $100.00 = $12.50		.
$100.01 - $150.00 = $17.50	Shipping & handling	________
$150.01 - $200.00 = $22.50	.	.
$200.01 - $400.00 = $30.00	COD add $15.00	________
$400.01 - plus = To be determined	.	.
	Total $$	________

Could you let us know how you found us? i.e. Search engine / key words Thank you !!

Please print this order form, fill in all necessary information,
and mail with check or money order, or Fax with credit card information to:

Harttwood
P.O. Box 59
Wallagrass, ME 04781
Phone # 207-834-3824
Fax # 207-834-4149

Orders usually shipped within 2 to 3 days upon receipt of order.

You may also wish to use our other order page for a quicker delivery,
as that order form is used for C.O.D's. and Credit Cards .

If you are still unsure of what you want, arrangements can be made for you to receive
a free sample of the block you are interested in.
Got a question ???
E-mail or talk to the friendly folks at Harttwood
E-mail Tim or Jen at:
harttwood@roadrunner.com

Home Patterns Prices Online Order Form

We respect the privacy rights of our customers.
We will not sell your personal
information to anyone!