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OFFICE USE ONLY<br />
DATE REC’D ORDER # PACKER(S)<br />
JEAN’S GREENS Herbal Tea Works!<br />
225 River St<br />
Troy, NY 12180<br />
ORDERED BY:<br />
518-479-0471 518-479-0154 FAX<br />
Toll Free (888) 845-TEAS (8327)<br />
web: www.jeansgreens.com<br />
SHIP TO: (if different from “Ordered By”)<br />
Name<br />
Business Name<br />
Address<br />
Daytime Phone #<br />
Fax#/e-mail<br />
Amt/Qty Item/Description (please print)<br />
Price ea Total<br />
Payment: Check or M.O. enclosed _____<br />
($20 service charge on returned checks)<br />
Charge my Discover_____MC ____VISA ____<br />
Card #________________________________<br />
Expires _____________CVC Code ____________<br />
SHIPPING & HANDLING<br />
Please Note: These are<br />
guidelines, shipping rates<br />
are adjusted down or up<br />
to reflect actual costs.<br />
Under 2 lb. & up to $20.00 $9.00<br />
$20.01 - 30.00 10.25<br />
$30.01 - 50.00 13.25<br />
$50.01 - 75.00 14.25<br />
$75.01 - 100.00 16.25<br />
over $100.00 18.75<br />
Send an e-mail to orders@jeansgreens.com<br />
for international shipping costs.<br />
30<br />
Subtotal<br />
NYS Tax (NY residents only<br />
for non-food items)<br />
S&H<br />
UPS Surcharge<br />
COD<br />
TOTAL<br />
Orders over $100, choose a free chart pg. 31<br />
Come Visit our Shop! - Hours are:<br />
CLOSED SUN-MON<br />
Tues to Fri. 10 am to 5 pm<br />
Saturday 10 am to 3 pm<br />
Closed Aug. 23rd - Sept. 4th<br />
for conference and vacation<br />
Closed Dec. 23rd to Jan. 3rd<br />
for the holidays and inventory<br />
Please call for other holiday hours.<br />
PLEASE NOTE: All prices are subject to change.<br />
We do our best to keep costs down, but factors beyond<br />
our control sometimes cause price increases.<br />
Thank you for your understanding.
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