Northern Grown Perennials Web Order Form

 

Quantity

Variety

Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- For additional space please use other side.

- Please Keep a Copy of Your Order.                                                                     Sub-Total:                                

                                   

      Shipping & Handling = For WI, MN, IA, IL, MI, ND, SD: $8.00 Plus $1.00 Per Plant:                                                                            

                                            (For all other states: $14.00 plus $1.00 per plant)                                              

   Total:

Your Name:    _________________________         

Address:         _________________________       P.S.  Send us the name of a gardening friend and deduct

                        _________________________       $1.00 from your order.  Thank You.

                        _________________________       _________________________________________________

Phone #:          _________________________       _________________________________________________

Email:             _________________________       _________________________________________________