To print form,click file and then print or you can write it out yourself.

Mail or Fax completed form to:

Diane's Floral Fantasies

157 Raritan Avenue

Keansburg, NJ 07470

USA

Name________________________________________________

Address______________________________________________

City_____________________ State______ Zip Code__________

Phone #_______________________ Email __________________

Item #	Quantity	Color	Special orders Items	Price Ea.	Total Price

Order Total	$____________
NJ Sales Tax (6%)	$____________
Shipping Charges	$____________
Grand Total	$____________