Prices Good Through 
August 30, 2006 
Order Form Page 1
Click Here for Page 2

~ Please print out BOTH PAGES of form and fax 888-950-1600 or mail to East Gate Designs, PO Box 243, Genoa, NY 13071
Page One - Customer Info / Favors & Accessories / Order Totals
Name:   Order Totals: Page 1 - $ __________  
Page 2 - $ __________  
Special Message $ __________  
Order Total $ __________  
S & H $ __________  
Rush Shipping $ __________  
Other $ __________  
Subtotal $ __________  
Sales Tax   $ __________  
(NYS Res. only add area tax)  
Total $ __________ 
  
Ship to Address:
                Apt #              Floor               Suite # 
City, State, Zip:
Day. Ph.                                           Eve. Ph.
Fax:                                     Email:
CC#                                                                     Exp. Date:
Name on Card:
Where did you hear about us?
New York State orders only County of Residence:
S & H (3 Day Priority USPS) - $0 - 99.00/$11.00     $100.00 - 249.00/ $14.00     $250.00 + / $17.00
Rush Shipping - Next Day - $20.00 (added onto regular S&H charges)  Canada, Puerto Rico, Hawaii add $15.00 to S/H
Favors & Accessories: (to assure freshest seeds, Seed Favors ship no more than 3 months prior to wedding date)
Qty: (sold in quantities of 10 only - favors are assembled unless otherwise stated; we will send 1 sample) $ Total
  Stand Up Seed Favor 10/$13.00 choose paper & seed below (some assembly; shipped flat)  
  Faux Wax Seal 10/$4.00 _____Gold _____Silver  
  Bow & Package Seed Favor * 10/$17.00 choose paper, seed, message & ribbon color  
  Book Marks * 10/$6.00 choose paper & message below (includes white tassel)  
  White Heart Sachets 10/$14.00 choose paper - (incl. Short Thankyou message.; assembly required)  
  White Heart Sachets 10/$24.00  ____Wildflower____Daisy (includes seed filler - fully assembled)  
  Envelope Box 10/$16.00 choose paper & ribbon color below (filling not incl.; assembly required)  
    -w/Bottle O'Seed Kit 10/$33.00 ___Square ___Empress planting card & grass incl., choose seed  
    -w/Bulb Kit 10/$33.00 ____Lilies (spring only)  ____Tulips (Fall only) planting card & tissue incl.  
    -w/Seed Pouch Kit 10/$29.00 planting card & grass included, choose seed below  
  Glassine Bags 10/$9.00 choose paper & ribbon color below (filling not incl.; assembly required)  
  Note Cards Boxed 20/$12.00 choose a paper below  
  Ribbon 1 Spool/$10.00 (75' spool) ___3/8" ___7/8" choose size if ordering separately, color below  
  Lge. Bottle O'Seed 10/$25.00 choose paper, ribbon color & Wildflower or Daisy seed only  
  Med. Bottle O'Seed 10/$18.00 ___Square ___Oval ___Pillar  choose paper, seed & ribbon color  
  Crystal Pendant 10/$54.00 choose paper & crystal color below  
  Crystal Pendant II 10/$62.00 Special Colors choose paper & crystal color below  
Side One Sub Total $   
Check All that Apply :
Paper Design ____Spring 1____Spring 2____Summer____Fall____Winter____White
Seed Choice ____Wildflower____Shasta Daisy___Forget me not (available ONLY for Standup & Bow & Package Favors)
Ribbon Color ____White____Pink____Iris____Navy____Sage____Orchid____Wine____Purple
*Book Mark / Bow & Package Message : ____Thank You____Enchantment _____Love
Crystal Colors:  ____Clear  ____Aqua  ____Emerald  ____Ruby  ____Amethyst  ____Rose  ____Blue
Special Colors:  ____Deep Purple   ____Deep Blue   ____Aurora Borealis   ____Light Purple
Names & Date on Favors:
_____________________________________
_____________________________________
_____________________________________
(First Names Preferred)
Special Message / Instructions:
_____________________________________
_____________________________________
_____________________________________
© 2005 East Gate Designs   All Rights Reserved