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Huddleston Floral Company-Since 1968 Fax Form 770.461.0147 All orders must be in by 12pm for same day delivery Monday-Friday 8-5 Saturday 8-12 Closed Sunday Please Print
Recipient Name:_________________________________________
Address:____________________City_________________State______Zip____________ Phone Number:_____________________________________________________________ Card Message:______________________________________________________________ _________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________________________
Delivery Date:________________________
Product Number:________________________________________ ___________________________________________________________________ Description:______________________________________ Amount:____________ Delivery Charge: $10.00 Sales Tax 6%:_____________________ Total:____________________________ Payment Method:_____________________________________ Customer Name:___________________________________________________ Credit Card Number:__________________________________Expiration:_______________ Billing Address:_____________________City________________State______Zip___________ Customer Phone:______________________________________________________ Signature of Card Holder:_______________________________________________
Thank You For Allowing Us To Take Care Of Your Order!
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Fax Order Form 
