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PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL
Garden on Cedar Hill Road
3050 Cedar Hill Rd., N.W.,
Canal Winchester, OH 43110-9566
phone: (614) 837-2283
Name
Address
City
State
Zip
Phone
Email
Shipping Date
We ship by USPS Priority Mail - $25 minimum order
May We Subsitute? Yes
No
click here for shipping charges
METHOD OF PAYMENT
Check Enclosed
Money Order Enclosed
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1
12
2
13
3
14
4
15
5
16
6
17
7
18
8
19
9
20
10
21
11
22
Gift Certificate Amount
Sub-Total
($10.00 plus $0.50/plant over 3 plants) Postage
6.75% sales tax for OH residents
Checks payable to Sharon Fitzpatrick - TOTAL