Visit Christmas Country Today!Printable Order Form

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Use this printable form to mail your order. Just print out these 2 pages, complete the form and send it along with your payment to the address at the bottom. Use the links below to review our products to refresh your memory. Please be certain to include your telephone number so we may contact you if needed. Thank you.
--- Mailto: 34 Newton Road, Plaistow, NH 03865 - (603) 382-6146 ---
Sold To:
First Name:
____________________
MI:
_____
Last Name:
____________________________
Street Address: (Required for Delivery):
________________________________________________________
City:
____________________
State:
_____
Zip Code:
____________________________

**Telephone:
______________________**required
Email: ______________________

Ship To: (if different than "Sold To")
Recipient's First Name:
____________________
MI:
_____
Recipient's Last Name:
____________________________
Recipient's Street Address: (Required for Delivery)
________________________________________________________________
Recipient's City:
____________________
State:
_____
Zip Code:
____________________________

Delivery Address is: ___Residence    ___Business
Include Gift Card: ___Yes   ___No
Gift Message: ______________________________________________________
__________________________________________________________________
__________________________________________________________________
Enter your order below: Ornaments | Jewelry | Santas (Use these links for reference)
QTY Name of Item
Color
2nd color choice
Price Ea.
Total
____ _______________________ _______  _________ ______ _________
____ _______________________ _______  _________ ______ _________
____ _______________________ _______  _________ ______ _________
____ _______________________ _______  _________ ______ _________
____ _______________________ _______  _________ ______ _________
____ _______________________ _______  _________ ______ _________
   
Subtotal
_________
(Please refer to the table below)  
S & H
_________
*Make check out for total to: Carol Corso*              *TOTAL _________*


Printable Order Form - PAGE 2 of 2
Shipping and Handling Chart
Purchase Total S & H Purchase Total S & H
Up to $20.00 $2.00 $60.01 to $70.00 $7.00
$20.01 to $30.00 $3.00 $70.01 to $80.00 $8.00
$30.01 to $40.00 $4.00 $80.01 to $90.00 $9.00
$40.01 to $50.00 $5.00 $90.01 to $100.00 $10.00
$50.01 to $60.00 $6.00 $100.01 and over Call
Number of Shipments:
Make one shipment when complete order is ready (minimizes cost)
Ship as products become availbable (incurs extra S & H cost)

How did you discover our web site? (Select one)
___Friend/Relative ___Television
___Newspaper ___Radio
___Magazine ___Catalog
___Referral from another store ___Browsing the Internet
___Search Engine (Please enter its name): ______________________________________
Would you like to be on our mailing list and receive our catalogue when available?      
___Yes   ___No
Is this a first time order?   ___Yes    ___No
 

Signature _________________________________________________

Mail your order to:
Christmas Country Gallery & Tree Farm
34 Newton Road, Plaistow, NH 03865
(603) 382-6146

Click here for Order Information & Policies

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