ORDER FORM: Please print this page, complete, then mail.
Name
Address
City
State
Zip
Phone
Email
UPS Directions
Preferred Shipping Date
Please Check One:
UPS Ground
| Priority Mail
May We Subsitute?
Yes
No
List your choice of substitute plants on a separate sheet page and include w/price sheet.
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1
.
.
.
.
15
.
.
.
.
2
.
.
.
.
16
.
.
.
.
3
.
.
.
.
17
.
.
.
.
4
.
.
.
.
18
.
.
.
.
5
.
.
.
.
19
.
.
.
.
6
.
.
.
.
20
.
.
.
.
7
.
.
.
.
21
.
.
.
.
8
.
.
.
.
22
.
.
.
.
9
.
.
.
.
23
.
.
.
.
10
.
.
.
.
24
.
.
.
.
11
.
.
.
.
25
.
.
.
.
12
.
..
.
.
26
.
.
.
.
13
.
.
.
.
27
.
.
.
.
14
.
.
.
.
28
.
.
.
.
Sub-Total
.
Postage
.
TOTAL
.
METHOD OF PAYMENT
Check Enclosed