Please print this page - fill in all indicated options and mail or fax to us - any questions - please call!
Gift of the Month Club
Membership at
The Concord Flower Shop
109 Thoreau Street
Concord, Mass. 01742
Phone (978) 369-2404 Fax (978) 287-6114
CHECK ONE OPTION (A, B or C)
|
-A- ______ $35/month A seasonal assortment of fresh cut flowers arrives unarranged for the person who enjoys making their own arrangements. |
-B- ______ $45/month Seasonal flowers artfully arranged in a basket, vase or decorative container. |
-C- ______ $40/month Each month receive a different surprise, we will alternate cut flowers, arrangements and flowering plants. |
| January___ | February___ | March___ | April___ |
| May___ | June ___ | July ___ | August___ |
| September___ | October___ | November___ | December___ |
Check the option you want and the months you want your gifts to arrive and complete the details below. We'll do the rest! Your gift will arrive the 1st week of each month unless you request a specific date. A gift card will arrive with your first delivery telling about your unique and thoughtful gift.
Check Town: ___Acton ___Bedford ___Boxboro ___Carlisle ___Concord
___Lexington___Lincoln ___Littleton ___Maynard ___Sudbury
|
Deliver to: ______________________ Address: ________________________ ________________________ Phone: ________________________ |
Card Message: |
BONUS: Order 6 months or more and NO DELIVERY CHARGE! - Otherwise please add $5 per month
| Prepay in full and receive these discounts:
For 3-5 months DEDUCT 5% For 6-8 months DEDUCT 10% For 9-12 months DEDUCT 15%
Total months amt. $_________ (LESS DISCOUNT) $ _________ Plus 5% MA Tax $ _________ Delivery Charges $_________ Total Amount $_________ |
Method of Payment:
___M/C ___VISA ___CHECK Card Acct# _______________________ Expires: _____________
Signature: ___________________ Date: ___________
Your Name: _________________________ Address: ________________________ ________________________________
Phone:______________ Fax: ______________ |