Mail or fax this form with your credit card information, check or money order payable to
Homes For Bluebirds, Inc.
P. O. Box 699
Bailey, North Carolina 27807
phone: (252) 235-4664
fax:
(252) 235-2411
(for additional information ,call 252-235-4664 or email finchnursery@bbnp.com)
| Order Date: |
| Daytime Phone: |
| Sold To: |
| Shipping Address: (no P.O. Boxes please) |
| City: |
| State: Zip: |
| Credit Card:* (please circle card type) VISA MC |
| Credit Card Number:* |
| Exp Date:* |
| Authorized Signature:*(as it appears on the credit card) |
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*Required only if purchasing with credit card |
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Qty |
Description |
Price |
Total |
| 1 Nesting Box | $20.00 | ||
| 4 Nesting Boxes (1 case) | $70.00 | ||
| 1 Set Pipes (2 pieces) | $20.00 | ||
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Shipping & Handling (See Below) |
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(1 Box = $6.00/ea, 4 Boxes (1 Case) = $18.00/cs; 1 Set of Pipes = $6.00/set) |
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TOTAL |
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