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Print Form Mail or Fax to: |
SINGLETREE FARM P.O. Box 1041 Fletcher, NC 28732 |
Date: _______________ (Page 1 of ______) |
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Purchaser Name:______________________________________________________
Address Line 1:_______________________________________________________
Address Line 2:_______________________________________________________
City:_____________________________________ State, Zip: __________________
We ship US Priority Mail to some destinations. Other destinations
may be changed to this carrier at our discretion. Use last sheet
of this form or line 2 if you have more than one address.
______ Address provided suitable for both Postal Delivery and
UPS.
E-Mail Address: ________________________________________________________
Tel Nbr (Day): ______________________________ Fax Nbr: ____________________
Payment Method: ___ Visa
___ MasterCard
___ Check ___
Money Order
Card Nbr:___________/___________/___________/___________
Card Expiration Date: _______/_______
MO YR
_____________________________________________________________________
Name as it appears on card
(please print)
_____________________________________________________________________
Signature of card holder (required)
Please disregard if not applicable:
______ GIFT ORDER
______ GIFT CERTIFICATE PURCHASE
Provide all recipient information on last sheet of this form
SHIPPING SCHEDULE: Spring (late March-mid April) through September
Please ship order to arrive: ______ ASAP
Week of _______________
If necessary, are SUBSTITUTIONS of similar variety / value permitted?
______ No - Refund difference / adjust credit charge
______ Yes - ______ My choices are listed on last page
______ You choose for me!
Note: Minimum plant total $25
Minimum Gift Certificate Purchase $30
Please print and list plants on next
page.