order form mail to: Mary's Plant Farm 2410 Lanes Mill Road Hamilton, Ohio 45013	or call us with order at: 513-894-0022 or fax order form to us at: 513-892-2053 email: marysplantfarm@zoomtown.com
SHIPPING NAME AND ADDRESS (if different from credit card billing address, please give us both): P.O. Box holders please provide street address for delivery		PAYMENT METHOD:
Name:		Please check one:
Street Address:		Check
P.O. Box:		Money Order
City:		MasterCard
State:                                            Zip:		Visa
e-mail address:
Credit Card #: ¦      ¦      ¦     ¦      ¦      ¦     ¦     ¦       ¦     ¦      ¦     ¦     ¦      ¦      ¦      ¦		Daytime phone:
V code: (numbers on back of card)
Expiration date: ¦ month:      ¦ year:
Be sure to fill out entire card number, V code, and expiration date!		Evening phone:
Signature for credit card:

Quantity

  Plant Name / Item

Price per Item

Amount  

Postage & Handling	East of Mississippi	West of Misssissippi
Orders up to $30.00	$10.95	11.95
Orders from $30.01 to $50.00	$11.95	$12.95
Orders over $50.00	20% of order	24% of order

Sub Total

Ohio Customers add 6.25% Sales Tax

Postage & Handling
(see table at left)

Shrubs 4' or taller
add $5 each

Trees 5' or taller
add $10 each

Total

We do not substitute unless you list a substitute above or on back of order form: Do you have any substitutions? YES NO