ORDER FORM
Name and address
___________________________________
___________________________________
___________________________________ phone# ___________________
ITEMS ORDERED
STK# NAME QUANTITY
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
___________ ____________________________________ _______
PLANT TOTAL ($50.00 minimum) ____________
PACKING ( $1.00 per plant or $5.00 minimum) ____________
Shipping will be billed at cost at time of shipment.
TOTAL (Make checks out to Coenosium Gardens) _____________
Circle a preferred ship date:
Spring ship dates: March 19 March 26 April 2 April 9
Fall ship dates: September 24 October 1 October 9