CottagesandGardens
MAIL ORDER FORM
CG # QTY. ITEM DESCRIPTION SIZE COLOR GIFT WRAP OTHER INFO UNIT PRICE TOTAL PRICE
SHIPPING & HANDLING CHARGES (PER ADDRESS)
Under $24.95 $   4.95 $199.95-$249.94 $  18.25
$24.95-$49.94 $   6.95 $249.95-$299.94 $  19.75
$49.95-$74.94 $ 10.25 $299.95-$399.94 $  22.55    
$74.95-$99.94 $ 11.75 $399.95-$500.00 $  24.75 
$99.95-$149.94 $ 14.55 Over $500.00 ~ Amount Above Plus 4% Over $500.00
$149.95-$199.94 $ 16.95
* Use Regular Sales Price For All Items
For Shipments To Continental U.S. Only ~ See CottagesandGardens.com Or Call 949.760.3696 For Amounts For Alaska, Hawaii, Canada & Other Countries 
Merchandise Total
Gift Wrapping ~ Not Available At This Time
Subtotal
Shipping & Handling Charge Based On Merchandise Total (Per Address)
Additional Shipping & Handling Charges ~  See Item Description Page
Sales Taxes ~ For Delivery To A California Address Add 7.75% Of Subtotal
Total
ADDRESS INFORMATION
BUYER (No PO Boxes)
Name ____________________________________________________ Home Phone ________________________________________________
Address ___________________________________________________ Other Phone (Specify) _________________________________________
City _______________________________________________________ E-mail Address (Order Confirmation) _____________________________
FOR GIFT RECIPIENT IF APPLICABLE (No PO Boxes) Gift Message (Please Print Legibly) _______________________________
Name _____________________________________________________ ___________________________________________________________
Address ___________________________________________________ ___________________________________________________________
City ______________________________________________________ ___________________________________________________________
Recipient's Phone ___________________________________________ ___________________________________________________________
PAYMENT METHOD
Please Enclose Your Personal Check, Money Order, Gift Or Merchandise Certificate Or Provide Credit Card Information Below.  (Please Do Not Send Cash)
   American Express (15 digits)    Check
   Visa (13-16 digits)    Money Order
   MasterCard (16 digits)    Certificate # _____________________________________
Card Account Number
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Expiration Date    (Required) Signature Of Authorized Buyer   (Required)
MAILING / FAX INFORMATION
MAIL TO: Cottages and Gardens
519½ Narcissus Avenue
Corona del Mar, CA 92625
FAX TO: 866.267.8017
PRINTING TIP:    Adjust Monitor Resolution (Higher) & Text Size (Smaller) For Fit To 1 Page Printing
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