ORDER FORM
Please call 508 864-5079 between 9:30AM and 6PM Eastern Standard Time, Monday through Friday, if you prefer to place your order over the phone instead of on-line. We accept Visa, MasterCard, American Express, and Discover.
Alternately, you may print out this order form and mail it with a cashier's check or Postal Money Order to Greenbriar Gifts, 48 Dorothy Road, Millbury, MA 01527.
We do not accept personal or business checks.
Thank you for your order!
NAME(Please print)_________________________________
STREET ADDRESS____________________________________APT NO._____
CITY OR TOWN____________________________STATE_______ZIP_______
PHONE NUMBER_____________________E-MAIL ADDRESS_________________
Item name Options (color, size,etc.) Price Quantity Total Price
Item name___________________Options________Price_______Quan._____Total_______
Item name___________________Options________Price_______Quan._____Total_______
Item name___________________Options________Price_______Quan._____Total_______
Item name___________________Options________Price_______Quan._____Total_______
Item name___________________Options________Price_______Quan._____Total_______
Item name___________________Options________Price_______Quan._____Total_______
Total for merchandise
_____________________________
Shipping charges are as follows: in-state (Massachusetts) on merchandise totaling up to $10.00 the charge is $7.00, $10.01 to $20.00 the charge is $10.00, $20.01 t0 $40.00 the charge is $12.00, and $40.01 to $60.00 it's $14.00.
Shipping to the rest of the lower 48 states is as follows: on merchandise totals up to $10.00 the shipping charge is $8.00, for $10.01 to $20.00 it's $12.00, for $20.01 to $40.00 it's $15.00, and for $40.01 to $60.00 it's $16.00.
Shipping _____________________________TOTAL_______________________________________________________________________________
As stated above, our mailing address is: 48 Dorothy Road, Millbury, MA 01527
Please note: we will not share your personal information (name, address, phone, etc.) with anyone, nor will we sell such information in the form of mailing lists or in any other way. We don't like Spam any more than you do!