å Date_____________ (for office use)
Return Form to:
The
Herb Cottage
442 CR 233
Hallettsville, TX 77964-4808
Office
Phone and Fax (979)562-2153
e-mail: cindy@theherbcottage.com
Bill To: |
Ship To, if different than Billing Address: |
ORDER FORM
NAME OF ITEM |
QTY. |
$ EACH |
$ TOTAL |
|
______________________________ |
___________ |
$_________ |
$_________ |
|
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$_________ |
$_________ |
|
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$_________ |
$_________ |
|
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$_________ |
$_________ |
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$_________ |
$_________ |
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$_________ |
$_________ |
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$_________ |
$_________ |
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$_________ |
$_________ |
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$_________ |
$_________ |
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$_________ |
$_________ |
|
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$_________ |
$_________ |
|
|
||||
Shipping Charges |
$2.00 |
|||
Subtotal |
$_________ |
|||
|
Tax ( TX Residents Only) 8.25% |
$_________ |
||
|
TOTAL |
$_____________ |
METHOD OF PAYMENT: Check, money order: _____ Please
make check out to The Herb Cottage