Heaven Sent Rosary & Chaplet Order Form
www.heavensentrosaries.com
Heaven Sent Rosaries
705 South Mountain Road
New City, NY 10956






Name:                                                                                                                                                                         

Address:                                                                                                                                                                      

                                                                                                                                                                          

Phone#                                                                                                                                                                       

e-mail:                                                                                                                                                                        

Referred by:                                                                                                                                                                

Comments/Questions:                                                                                                                                                        
      
                                                                                                                                                                          

                                                                                                                                                                         


























*Please Note:  Payment by check or money order must be accompanied with all orders.  All credit card orders
are processed through PayPal or Google Checkout.  If paying through PayPal or Google Checkout, remember to
fill out e-mail address section of this order form, so that we may send you an invoice.  
                                                 Thank You for Your Order.
    Important Shipping Instructions if your flowers are fresh:
  • Remove petals from flowers if they are not already dry.
  • Pack Flowers loosely with newspaper or paper towels.
  • Never use plastic to wrap flowers or plastic envelopes for shipping.
Mail Orders to:
Heaven Sent Rosaries
320 High Street
Monroe, NY 10950
Quantity
 Item
 Flower Color
 Center & Cross Choice
 Price
         
         
         
         
         
         
         
         
  Add $5.00 for Shipping
& Handling
  
  Order Total
  
Heaven Sent Rosary & Chaplet Order Form
www.heavensentrosaries.com
Heaven Sent Rosaries
320 High Street
Monroe, NY 10950
Please remember to add $5.00 for each multi-colored item (up to
three colors per item).