MAIL-IN ORDER FORM
The Green Pergola Aromatherapy & Soap Company
223 Donelson Pike
Nashville, TN 37214
615-578-6638
www.greenpergola.com
 

call for my credit card info
SELL TO:
Name:
Address:
Address:
City:
State:
Zip Code:
Phone #:
Email address:
Ship To:  (sorry, no P.O. Boxes)
Name:
Address:
Address:
City:
State:
Zip Code:
Phone #:
your order will be shipped via Airborne/DHL ground
SHIPPING & HANDLING (based on purchase price)
$0 - $20.00 = $6.50
$21.00 - $40.00 = $8.00
$41.00 - $60.00 = $9.00
$61.00 - $100.00 = $10.50
$101.00 & UP = $12.50
TN State residents must add 9.25% sales tax to order total.
Make checks payable to:
The Green Pergola
orders paid for by check have a 5-7 day waiting period
credit card orders:  check box "call for my ccd info" above the "sell to" form
we accept Visa & Mastercard on ccd orders
ITEM DESCRIPTION / SCENT QNTY PRICE
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
 

order total

 ----------->  
  TN state residents tax
if applicable add 9.25%		 ----------->  
  shipping ----------->  
  GRAND TOTAL ----------->  
mail-in order form for those customers not wanting to use online shopping cart.  Please print and send completed form and payment to: 
THE GREEN PERGOLA, 223 Donelson Pike, Nashville, TN 37214   (you may mail in check/money order or have us call you for your ccd #)