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:
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).