order form mail to: |
or call us with order at: 513-894-0022 or fax order form to us at: 513-892-2053 |
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SHIPPING NAME AND ADDRESS (if different from credit card billing address, please give us both): |
PAYMENT METHOD: |
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Name:
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Please check one: |
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Street Address: |
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P.O. Box: |
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City: |
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State: Zip: |
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e-mail address:
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Credit Card #: ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ |
Daytime |
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V code: (numbers on back of card) |
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Expiration date: ¦ month: ¦ year: |
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Be sure to fill out entire card number, V code, and expiration date! |
Evening |
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Signature for credit card: |
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Quantity |
Plant Name / Item |
Price per Item |
Amount |
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Sub Total |
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Ohio Customers add 6.50% Sales Tax |
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Postage & Handling |
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Shrubs & trees 4' tall & roses |
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Trees & shrubs 5' or taller |
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Total |
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We do not substitute unless you list a substitute above or on back of order form: Do you have any substitutions? YES
NO