Headstoneware Mail-Order Form      Print This Page         Return to Home Page       Privacy Statement

Name  
Shipping Address  
City, State, Zip   
Telephone  
Facsimile                                                                                                                     (Privacy Assured. Your information will
E-mail                                                                                                         not be sold or shared with a 3rd party.)
Payment Method  Circle One:      Credit Card       Check     Money Order
Credit Card Number                                                                                   Expires:           Security code:                 

Credit Card Statement

                                                       
Billing Address                                                        
Qty.  Item Item # Wt/Unit Price Total
  Wreath Holder (6") Small Wreath-01 1 lb. 13.75  
  Wreath Holder (8"-9") Medium Wreath-01-MED 1 lb. 14.00  
Wreath Holder (Over 9") Custom Quote Wreath-01-Custom 1 lb. 0.00 Custom Quote  .
  Wreath Holder for Ground Stone / Grave Marker GRND-Wreath-01 1 lb. 19.40  
 

Flower Pot Holder (Accommodates 6"-8" pot)

FPH-01 1 lb. 29.50  
 

Flower Pot Holder for Ground Stone/Grave Marker

(For 6"-8" pot)

GRND-FPH-01 1 lb. 20.60  
 

Flower Pot Holder In-Ground, Stake Mount Style

GRND-STAKE-FPH-01 1 lb. 33.50  
  Cut Flower Fluted Vase Holder CFH-01 1 lb. 29.75  
 

Cut Flower Fluted Vase Holder

for Ground Stone / Grave Marker

GRND-CFH-01 1 lb. 20.40  
Cut Flower Holder, Adhesive Backed CFH-ADHESV-01 1 lb. 27.25
  Flag Holder Flag-01 1 lb. 28.25  
  Flag Holder for Ground Stone / Grave Marker GRND-Flag-01 1 lb. 20.40  
  Saddle SADDLE 2 lb. 30.25  
  Cut Flower Fluted Vase, Green CFV-GRN .25 lb 5.00  
  Cut Flower Fluted Vase, Grey CFV-GRY .25 lb 5.00  
American Flag, 8" x 12" w/ 24" Stick Flag .25 lb 4.75

Ordering a 2-Pack? Receive a 10% discount of Subtotal

Subtotal
   

 MA Residents Only

  6.25% Tax  

*

Shipping Cost To Be Determined. Call ahead.

 Total Weight

  Shipping  
        Total  

* UPS Shipping Charges: Call us at 508-226-0788 to get an accurate UPS Ground Shipping Rate to your zip code.

 

Please make check payable to: A. Luongo & Sons. Inc.

Please print & complete this form. Enclose it with payment/info, and mail to:

 

Headstoneware

c/o A.L.S.                                       Customer Service: info@headstoneaccessories.com  

67 Mechanic St., Suite 2

Attleboro, MA 02703                     (Form Updated on 11/07/2011)