Creative Necessities
FLORIST & GIFT SHOP
34 North Main Street
(in the Historic McCarty House)
Muncy, PA 17756
 Call us at: 570-546-2473 or 800-278-8231

NOTE: If you are faxing us an order - please call us to let us know, 
so we can look for it!  Thank you. 
Your Name __________________________________________ Date __________
Address ___________________________________________________
___________________________________________________
Phone Number 
( important ! )		 ___________________________________________________
Deliver To ___________________________________________________
Address ___________________________________________________
___________________________________________________
Phone Number ___________________________________________________
Special Delivery Instructions ___________________________________________________
___________________________________________________
Delivery Date _________________________   Preferred Time      AM   or    PM 
Payment Type Cash  -  Check  -  Charge   -  Company Account
Credit Card Number
Visa - Master Card -
Amexpress - Discover
(Please Circle Card Type)		 _____________________________________ Exp __________
Quantity Item Number and Description (Please include any special instructions)
____________ ___________________________________________________
____________ ___________________________________________________
____________ ___________________________________________________
____________ ___________________________________________________
____________ ___________________________________________________
Card - Birthday - Anniversary - Congratulations - Baby (Boy or Girl) - Holiday - Sympathy
               Get Well Soon - Thank You -  Thinking of You -  Other ______________________
Card Text ___________________________________________________
___________________________________________________
___________________________________________________
We will contact you after we have received the order to verify the
information and give you your total.
Please fax to: 570-546-3925