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  

Sub Total

Ohio Customers add 6.50% Sales Tax

Postage & Handling
(see table at left)

Shrubs and trees 3' or taller and potted roses add $5 each

Shrubs and trees 4' or taller
add $10 each

Total