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| Order Form |
Please Read Ordering Information Page Before Printing and Filling Out Form
| ITEM |
BEAD COLOR
| (ANY color-no matter what color the petals are) |
| WITH OR WITHOUT CAPS |
| OUR FATHER BEAD COLOR- |
| BRACELET MEASUREMENT |
| (Must Have When Ordering Bracelet) |
| PRICE OF KEEPSAKE |
| QUANTITY |
| TOTAL PRICE |
| (All Prices Include Sales Tax) |
NOTES:
SHIPPING ADDRESS: If shipping of order is needed
| TOTAL |
| SHIPPING $5 (Only if shipping of order is required) |
| TOTAL ORDER |
| ROSE PETAL KEEPSAKES 218 Allegro Avenue Duson, LA 70529 337-315-0421 |
| ORDER DATE: ______________________________________ |
_____________________________________________________________ __________________________________________________________
Name Phone
_____________________________________________________________ __________________________________________________________
Name of Deceased OR Date of Birth AND Date of Death OR
Name of Person (s) for Occasion (wedding couple, baby, etc.) Date of Occasion (wedding, birth, etc.)
***Please fill out order form completely ***Please allow up to 12 weeks for completion of order
***Please submit order form with payment and petals (See Ordering Information Page for instructions on sending petals)
Name Phone
_____________________________________________________________ __________________________________________________________
Name of Deceased OR Date of Birth AND Date of Death OR
Name of Person (s) for Occasion (wedding couple, baby, etc.) Date of Occasion (wedding, birth, etc.)
***Please fill out order form completely ***Please allow up to 12 weeks for completion of order
***Please submit order form with payment and petals (See Ordering Information Page for instructions on sending petals)
$
$
$
| -Specify Bead Color & if Bead is With or Without Caps (Needed for Rosaries, Chaplets, & Bracelets) |
To Print, make sure cursor is not on
table columns.
table columns.
How did you hear about Rose Petal Keepsakes? ________________________________ Payment Type- Check(#)________ Cash_____ THANK YOU! |
Ordering Checklist:
___ Place correct amount of roses in paper bag with name written on outside of bag--minimum of 2 roses if possible
___ Fill out order form: Please make sure to:
___ Give full name, date of birth and date of death for deceased -- or names (first and last) of couple
for weddings & wedding date.
___Give measurements for bracelets ordered
___Fill all columns (bead color, with or without caps (example shown on products page), Our Father
color (if applicable)
___Shipping address if shipping is required
___ Include payment. Checks or Cash. Checks can made payable to Rose Petal Keepsakes or Jodi Boudreaux
___ Call to schedule an appointment 337-315-0421 or mail order to 218 Allegro Avenue Duson, LA 70529
___ Place correct amount of roses in paper bag with name written on outside of bag--minimum of 2 roses if possible
___ Fill out order form: Please make sure to:
___ Give full name, date of birth and date of death for deceased -- or names (first and last) of couple
for weddings & wedding date.
___Give measurements for bracelets ordered
___Fill all columns (bead color, with or without caps (example shown on products page), Our Father
color (if applicable)
___Shipping address if shipping is required
___ Include payment. Checks or Cash. Checks can made payable to Rose Petal Keepsakes or Jodi Boudreaux
___ Call to schedule an appointment 337-315-0421 or mail order to 218 Allegro Avenue Duson, LA 70529