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PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL
Bill & Diana Waldrop, 310 McDaniel Road, Marietta, GA 30064 | home: 770.429.0204, cell phone: 404.375.9454

Name

Address
City
State
Zip
Phone
Email
Shipping Date
We ship by U.S. Postal Service Priority Mail
shipping charge is $20.00 per order plus 0.25 per plant after the first four
May We Subsitute?
Yes No
METHOD OF PAYMENT
Check Enclosed -- Please make checks payable to: Bill Waldrop
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
.
($20 by priority mail, plus 0.25 per plant after the first four) Postage
 
TOTAL
.