Harmony Hollow - Order Form


Bells \| Chimes \| Motifs \| Garden Stakes \| Other \| Ordering Info

Harmony Hollow Bell Works
BOX 1303, ANN ARBOR, MI 48106
800-468-2355 (HOT-BELL) - - - FAX 734-668-1376
EMail to: bcross@harmonyhollow.com

To order, please fill out the form below. We will contact you for billing information.

Today's Date (Month/day/year):
Ship Date (Month/day/year):

Bill To: First name:
Last name:
Street address
City
State or Prov
Postal Code
Country
Phone
Fax
E-mail address

Ship To (fill out if different from "Bill To" info):
First name:
Last name:
Street address
City
State or Prov
Postal Code
Country
Phone
Fax
E-mail address

Contact me (Bill To Name) for payment information by: Phone Fax Mail
If by phone, best time to call:

Products What would you like to order? Please specify number of items, and which motif (if any) you would like with your items. We will then contact you as to price, shipping, etc.

Comments Please make any comments about our products or WebSite:

When you are done The "Submit" button will email your order to us.

Call Us at 800-468-2355