Headstoneware Mail-Order Form Print This Page Return to Home Page Privacy Statement
| Name | |
| Shipping Address | |
| City, State, Zip | |
| Telephone | |
| Facsimile | (Privacy Assured. Your information will |
| not be sold or shared with a 3rd party.) | |
| Payment Method | Circle One: Credit Card Check Money Order |
| Credit Card Number | Expires: Security code: |
|
Credit Card Statement |
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| Billing Address |
| Qty. | Item | Item # | Wt/Unit | Price | Total |
| Wreath Holder (6") Small | Wreath-01-Sml. | 1 lb. | 10.00 | ||
| Wreath Holder (8"-9") Medium | Wreath-01-Med. | 1 lb. | 10.00 | ||
| Wreath Holder (Over 9") Custom Quote | Wreath-01-Custom | 1 lb. | 0.00 | Custom Quote . | |
| Wreath Holder for Ground Stone / Grave Marker | GRND-Wreath-01 | 1 lb. | 16.00 | ||
|
Flower Pot Holder (Accommodates 6"-8" pot) |
FPH-01 | 1 lb. | 26.00 | ||
|
Flower Pot Holder for Ground Stone/Grave Marker (For 6"-8" pot) |
GRND-FPH-01 | 1 lb. | 16.00 | ||
|
Flower Pot Holder In-Ground, Stake Mount Style |
GRND-STAKE-FPH-01 | 1 lb. | 29.00 | ||
| Cut Flower Fluted Vase Holder | CFH-01 | 1 lb. | 26.00 | ||
|
Cut Flower Fluted Vase Holder for Ground Stone / Grave Marker |
GRND-CFH-01 | 1 lb. | 16.00 | ||
| Cut Flower Holder, Adhesive Backed | CFH-ADHESV-01 | 1 lb. | 18.00 | ||
| Flag Holder | Flag-01 | 1 lb. | 25.00 | ||
| Flag Holder for Ground Stone / Grave Marker | GRND-Flag-01 | 1 lb. | 16.00 | ||
| Saddle | SADDLE | 2 lb. | 26.00 | ||
| Cut Flower Fluted Vase, Green | CFV-GRN | .25 lb | 2.75 | ||
| Cut Flower Fluted Vase, Grey | CFV-GRY | .25 lb | 2.75 | ||
| American Flag, 8" x 12" w/ 24" Stick | Flag | .25 lb | 2.50 | ||
|
MA Residents Only |
5% Tax | ||||
|
* |
To Be Determined. Call ahead. |
Total Weight |
Shipping | ||
| Total |
* UPS Shipping Charges: Call us at 508-226-0788 to get an accurate UPS Ground Shipping Rate to your zip code.
Please make check payable to: A. Luongo & Sons. Inc.
Please print & complete this form. Enclose it with payment/info, and mail to:
Headstoneware
c/o A.L.S. Customer Service: info@headstoneaccessories.com
67 Mechanic St., Suite 2
Attleboro, MA 02703 (Form Updated on 07/13/2006)