Page 14 - Real Flowers Wholesale
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Real Flowers Jewelry®         Purchase Order

          Business Name:__________________ Customer_____________

         ________________________   ___________ _____________
         Shipping Address                                         City                     Purchase Order No
         __________  _______   ________________ ______________
         Zip Code                 State                    Country                       Day Phone
          ____________________________         __________________________________
                          Cellphone                                              E-mail
         Payment by:    Credit Card        Mailing a Check            Fiora Open Account

         If Out of stock:  Please Call me         I will wait 2 weeks       Send me all Available


             Item #    Quantity  Description/specifications                             Flower  Price  Subtotal
























           Comments  _________  ___________________________        _________________  Subtotal
                       _________  ___________________________      _________________  Shipping
                       _________  ___________________________      _________________               Total  __________

          For Orders over $250 US on Regular price list, Fiora Jewelry will pay
          The shipping Charges (No applicable on discount Orders)

                     Order: By phone (281) 7641940 / Mail your Check payments to: Fiora Jewelry LLC.
                               322 Gentry St. Spring, Tx, USA,77373.  www.fiorajewelry.com
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