143 Doty Cir.
West Springfield
MA 01089 USA
tel. (413) 732-3899
ORDER FORM
FOOD PARCELS - FLOWERS - FRUIT BASKETS
Code
Quantity
Handling Fee
Amount
TOTAL:
$
Sender
Name:
Address:
Zip, City:
Recipient
Name:
Address
Zip, City:
Please print clearly in places indicated.
For prices and handling fee see Food Parcels, Fruit Baskets, Flowers
Catalogs. Attach personal check or Money Order and mail directly to POLONEZ
PARCEL SERVICE
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![[Company Logo Image]](Polonez_Logo/Polonez1.gif){kind=logo}