Fax and Mail Order Form
Billing Information:
Today's Date____________________________
Bill-to Name_______________________________________________
Company Name_______________________________________________
Address_____________________________________________
City______________________  State__________________  Zip________________
Phone__________________________ Email_____________________________________
Credit Card Type______________________________
Credit Card Number_______________________________ Expiration Date______________
Comments___________________________________________________________________________
____________________________________________________________________________________
Recipient Information
Item Name ___________________
Ship-to Name__________________________________________
Company Name__________________________________________
Address_____________________________________________
City_______________________  State___________________  Zip_________________
Phone____________________________________
Item Price $___________ Shipping___________
To be delivered by________/_________/__________
Greeting Card Text ____________________________________________________________________
____________________________________________________________________________________
Special Instructions____________________________________________________________________
____________________________________________________________________________________
Item Name___________________
Ship-to Name__________________________________________
Company Name__________________________________________
Address_____________________________________________
City_______________________  State___________________  Zip_________________
Phone____________________________________
Item Price $___________ Shipping___________
To be delivered by________/_________/__________
Greeting Card Text ___________________________________________________________________
___________________________________________________________________________________
Special Instructions___________________________________________________________________
___________________________________________________________________________________
Item Name___________________
Ship-to Name__________________________________________
Company Name__________________________________________
Address_____________________________________________
City_______________________  State___________________  Zip_________________
Phone____________________________________
Item Price $___________ Shipping___________
To be delivered by________/_________/__________
Greeting Card Text ___________________________________________________________________
___________________________________________________________________________________
Special Instructions___________________________________________________________________
___________________________________________________________________________________
Item Name___________________
Ship-to Name__________________________________________
Company Name__________________________________________
Address_____________________________________________
City_______________________  State___________________  Zip_________________
Phone____________________________________
Item Price $___________ Shipping___________
To be delivered by________/_________/__________
Greeting Card Text ___________________________________________________________________
___________________________________________________________________________________
Special Instructions___________________________________________________________________
___________________________________________________________________________________
Item Name___________________
Ship-to Name__________________________________________
Company Name__________________________________________
Address_____________________________________________
City_______________________  State___________________  Zip_________________
Phone____________________________________
Item Price $___________ Shipping___________
To be delivered by________/_________/__________
Greeting Card Text ___________________________________________________________________
___________________________________________________________________________________
Special Instructions___________________________________________________________________
___________________________________________________________________________________
Fax Orders:
Please print this form, complete it and fax it to 541-387-3104
Mail Orders:
Please print this form, complete it and mail it with your check or credit card information to:
The Fruit Company
2900 Van Horn Drive
Hood River, OR 97031
Questions? Call us toll-free at 1-800-387-3100!
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