HolidayOrder

To Order fill out the form below.
Choose to send a check, call GLHF with your credit card information, or pay online.

You can also Print a pdf order form to mail.

Orders and Payment are due no later than November 15,2011

Purchaser:
Contact Person:
Phone:
E-mail:
Address:
City: State: Zip:

Delivery Address:
FREE delivery for orders above $300 to the same Milwaukee area address.
We will gladly deliver orders under $300 for a $25 delivery fee.

Delivery Address same as Contact Address

Address:
City: State: Zip:

Please check one


Pick up: 12 noon - 6 pm Friday, December 2nd GLHF Office - Blood Ctr. of WI 638 N 18th Street, Ste. 108 Milwaukee, Wi	Pick up: 10 am - 5 pm Friday, December 2nd MPTV Friends, Inc. 12560 W. Townsend St. Brookfield, WI	Pick up: 10 am - 12 noon Saturday, December 3rd MPTV Friends, Inc. 12560 W. Townsend St. Brookfield, WI	Delivery: 9 am - 1 pm Friday, December 2nd $25 charge OR Free Delivery for orders $300+

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POINSETTIAS - Wrapped in holiday foil

Plant Size	Quantity of each Color desired				Total Cost per size
10" Poinsettia - $11.00	RED	WHITE	PINK	MARBLE	$
16" Poinsettia - $17.00	RED	WHITE	PINK	MARBLE	$
26" Poinsettia - $39.00	RED	WHITE	PINK	MARBLE	$
Poinsettia Total					$

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HOLIDAY WREATHS - Balsam needle with pine cones and red ribbon

Number of each Size desired			Wreath Total Cost
20" - $14.00	30" - $20.00		$

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STONE CREEK COFFEE – Milwaukee based and socially responsible coffee

Coffee - $13 / lb	please indicate # of pounds:	Hot Chocolate - $8 per 12 oz.tin
GLHF Blend:	Ground Whole bean	Old Fashioned Hot Chocolate tins	Stone Creek Total Cost $
French Roast:	Ground Whole bean
Cream City Blend:	Ground Whole bean
Organic Fair Trade Blend:	Ground Whole bean
Hazelnut Blend:	Ground Whole bean
Decaf Cream City:	Ground Whole bean

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DELIVERY

Deliver to the above Milwaukee area address - $25 fee (free for $300+ orders)

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Payment Information

Please make a note of the total from each category and choose your payment method below.
We suggest you print a copy of this page for your records.

I will call GLHF with my credit card information.
I will send a Check to GLHF - 638 N. 18th Street, Suite 108, Milwaukee, WI 53233
I will pay online by clicking the "Pay Online" button after submitting this form.