Beneath the Willow
 131 Fletcher Street
Kennebunk, Maine 04043

Toll Free: 1-877-324-9056
 1-207-985-0984
Online Order Form, Visa & MasterCard Only  

 Amount                 Item                                 description                       $ per unit         TOTAL$

Shipping (see chart below)$

Maine Residents Add 5% Sales Tax $

TOTAL SALE $


SHIPPING CHART (USA):
(For International shipping rate, please email us for a quote)

If your order 
totals:
$1.00-$10.00
shipping= $5.95

If your order totals:
$11.00-$25.00
shipping= $6.95

If your order 
totals:
$26.00-$40.00
shipping= $7.95

If your order 
totals:
$41.00-$60.00
shipping= $8.95

If your order 
totals:
$61.00-$75.00
shipping= $9.95

 If your order
totals:
$76.00+
Email Us

PLEASE NOTE: We may charge less/more for shipping depending on your area 
and the weight of the package. 

How did you hear about us?

EMAIL Address: Phone # :

We ship using the U.S. postal service 
Please give any addresses that apply

BILLING ADDRESS:

NAME:
STREET/P.O. BOX:
TOWN/CITY:

STATE & ZIP

SHIPPING ADDRESS:same as billing address

NAME:
STREET/P.O. BOX
TOWN/CITY

STATE & ZIP
Credit Card Type VISA  MasterCard
CREDIT CARD #

EXPIRATION Date

Free Gift Wrapping of your treasures here at
Beneath the Willow  
   Please check here for gift wrapping 
 we gift wrap using beautiful natural hand made papers & raffia

Gift Wrapping instructions/Comments: