Greek Island Imports Inc.
776 Dodecanese Blvd.
Tarpon Springs, FL 34689
Ph. 727-934-4016
Toll-Free
1-877-877-3502
Fax - 727-938-1258
Email - Greekimp1@aol.com
Please fill out this Order form and either Click on Submit to Send by E-mail or
print it out and Fax or Mail.
First Name
Last Name
Address
City, ST
ZIP
Country
Payment Method:
Select One
Visa
MasterCard
American Express
Discover
Cashier's Check
C.O.D.
Card #:
Expiration Date:
Phone #
Fax #
E-Mail
Stock #
QTY
Description
Price
Total
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
if COD add
$7.00
Signature
________________________
Date_________
TOTAL
$
I, THE ABOVE SIGNED ACKNOWLEDGE THE ABOVE ORDER AND AUTHORIZE
GREEK ISLAND IMPORTS, INC.
TO CHARGE THE TOTAL AMOUNT INDIDCATED ON THIS FORM (IF APPLICABLE).
BILL TO:
SHIP TO: