CottagesandGardens
MAIL ORDER FORM
CG # QTY. ITEM DESCRIPTION SIZE COLOR GIFT WRAP OTHER INFO UNIT PRICE TOTAL PRICE
Use The Table Below For All Items That Do Not Have Unique Shipping Charges Associated With Them.
CONTINENTAL U.S. - GENERAL DELIVERY CHARGES
Under $25.00 $   6.95 $200.00-$249.99 $  20.95
$25.00-$49.99 $   8.95 $250.00-$299.99 $  22.95
$50.00-$74.99 $ 11.95 $300.00-$399.99 $  24.95    
$75.00-$99.99 $ 13.95 $400.00-$500.00 $  26.95 
$100.00-$149.99 $ 15.95 Over $500.00 ~ Amount Above Plus 5% Over $500.00
$150.00-$199.99 $ 18.95
* Use Regular Sales Price For All Items
See CottagesandGardens.com Or Call 866.267.8017 For Delivery Charges to Alaska, Hawaii, U.S. Territories, Canada & Other International Addresses 
Merchandise Total
Gift Wrapping - Add $4.95 (small) or $7.95 (large) For Each Item
Subtotal
Delivery Charge - Based On Merchandise Total (Per Address)
Additional Delivery Charge -  See Item Page
Sales Taxes - For Delivery To A California Address Add 8.75% 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 # _______________________________
Credit Card Account Number Security Code - For Visa/MC Last 3 Digits Of 7 Digits On Back.  For AMEX, 4 Digits On Front (Required)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 2 3 4
Expiration Date    (Required) Signature Of Authorized Buyer   (Required)
MAILING / FAX INFORMATION
MAIL TO: Cottages and Gardens
P.O. Box 418
Tustin, CA 92781
FAX TO: 866.267.8017
PRINTING TIP:    Adjust Monitor Resolution (Higher) And/Or Text Size (Smaller) If Necessary To Accommodate 1 Page Printing
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