The Magic Garden - Order Form


Mail to: The Magic Garden 358 Benjamin Hill Road Newfield, NY 14867	Phone in: (607)564-9055 Order can be left on answering machine)
Ship to: Address:_______________________ Address:_______________________ City, ST Zip_____________________ Daytime Phone:(____)____-________	Bill to (if different): Address:_______________________ Address:_______________________ City, ST Zip_____________________ Daytime Phone:(____)____-________
Payment Information: Circle One:Credit Card/Money Order/Check Credit Card Type:_________________________ Expiration Date:_____/______ Card Number: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Name on Card (Print):___________________________________ Signature:______________________________________	Notes: Permission to Substitute? Circle OneYes/No Send a catalog to a friend?: Address:_______________________ Address:_______________________ City, ST Zip_____________________ Daytime Phone:(____)____-________