Order Form


Please Note ! Entire Order Form (Delivery & Payment Info.) Must Be Filled Out !

Order Information
You may print this order form and fax credit card information or mail with check or money order to:

Allegro Gifts and Gourmet Deli
P.O. Box 1021
Block Island, RI 02807
Phone (401) 466.5022
Toll free 1.800.687.1659

Delivery Information
Deliver To: 
Telephone #:
Address: 
Address (2): 
City/State/Zip: 
Country: 
Message Enclosed:

Payment Information
Your Name: 
Credit Card: VisaMasterCard
Card Number: 
Expiration Date: 
Your Phone #: 
Your Address: 
City/State/Zip: 
Country: 
Email Address: 


Accepted at the Allegro Cyber shop.


Item Quantity Cost Total
@  Total Cost:
: @ Total Cost:
Backpack:
Black Eggplant 		 @ $18.00/ea Total Cost:
Natural Canvas Waistpack: @ $10.00/ea Total Cost: 
Total Cost: 
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Gel Candles Seascape $19.95/ea Total cost
Polo Shirt:
Black White 
M L XL 		 @ $15.00/ea Total Cost: 
XXL Polo Shirt:
Black White 
XXL 		 @ $17.00/ea Total Cost: 
@ Total Cost: 
Block Island on the Web T-Shirt:
M L 
XL 		 @ $12.00/ea Total Cost: 
@  Total Cost: 
Cap:
khaki/blue 
khaki/green
khaki/red 		 @ 10.00/ea Total Cost: 
Boat Bag:
natural/green 
natural/blue
natural/black 		 @ 26.95/ea Total Cost: 
Note Cards: @ $8.00/ea Total Cost: 
Southeast Light Poster: @ $30.00/ea Total Cost: 

Indian Head Neck Poster:		 @ $25.00/ea Total Cost: 
Total Cost: 
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Large New Shoreham Flag: @ $44.95/ea Total Cost: 
Small New Shoreham Flag: @ $19.95/ea Total Cost: 
S.E Lighthouse
Poster
K.C. Perry		 @$30.00 /ea Total Cost: 
North Light Poster
K.C. Perry		 $30.00@  Total Cost: 
Ella Poster $30.00@  Total Cost: 
@  Total Cost: 
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*Exrta charges may apply  for extra weight and or postal zones Shipping & 
Handling 
*extra charges
If problem occurs please e-mail us at allegro@allegro-gifts.com or call toll free 1.800.687.1659 RI Residents 
add 7% sales tax
 submit order Total Amount Due

Please allow 2 weeks for delivery.
 

NOTES:
For checks you must print out this form and mail it in.
Return items within 10 days for a full refund or exchange.
All orders to be shipped within 14 days of order.
Credit card orders may also print & mail or fax if so desired.

If you are mailing your order with a credit card please remember to include your
Name as it appears on the card:
Card number:__________________________________________________
Expiration Date:________________________________________________
Shipping Address:______________________________________________

and please Sign Here:__________________________________________