Vermont Oil Lanterns: Mail
Order Form
Procedure:
Print This Form From Your Browser. Reduce Print Size
percent to fit
Fill
it out, Mail it along with payment or
FAX IT to
(801) 457-2304
MAIL
to: Vermont Lanterns, 54 Pleasant St, Rutland,
VT 05701
Check
or Money Order Payable to: VERMONT
LANTERNS Check # ______
[allow
10 days to clear]
Credit
Card # ___________ - ___________ - ___________
- ___________
Exp.
Date: _____ / _____ Type: VISA __
MASTERCARD __ AMEX __ DISCOVER __
Name
on Card: _____________________________________________________
Signature:
_____________________________________ Date: ____________
Shipping
Information
Ship
to Name:__________________________________ Company
Name:____________
Street
Address:__________________________________________________
City: _________________________________
State
or Province:_________________ Country:_______________
ZIP:________
Daytime
Phone:__________________________ E-Mail Address:__________________
Enter
only the lanterns you are purchasing. Free
lanterns are added by us.
If
you wish to customize your order, please call
in your order or email
us