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Wreath Order Form

Your Name:
Your Email:
Address:
City, State, Zip:
Phone Number:
Name(s) of Deceased:

Please Make Your Selection Below:
(Choose all that apply)

20 inch Artificial Wreath - $26.50
Quantity:

20 inch Live Wreath - $31.80
Quantity:

Live Blanket - $53.00
Quantity:

_____________________

Please Select Choice of Payment:

Please add any special instructions or comments:

   
 
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