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JON'S HEIRLOOM PLANTS Order Form

JON'S HEIRLOOM PLANTS
PO BOX 54, MANSFIELD, MO 65704
PH 417-924-9733
jon@jonsplants.com

To place an order, simply print out this form. Fill in the fields with a pen or pencil, then mail or fax it to us.
VISA, MasterCard, cheque and money order accepted. Cheque may be reqired to clear before shipping.

Ship to:   
Street address:    
PO Box #:    
City:    
State or Province:   
Postal, Zip Code:   
Telephone:   
Fax:   
Order Placed By:   
Visa Card #:   
MasterCard #:   
Expiration Date:   
Full Name on Card:   
DATE:   
Email address:   
Authorized Signature:   
 

 
 
 
 

 

 
FOR PLANT ORDERS, JUST ADD $6.95 POSTAGE! There is no limit the amount plants you can buy and still pay our low shipping charge. ,

Item #:

Quantity:

Description/Variety:

Per Unit Cost:

Total Amount:

         
         
         
         
         
         
         
         
         
         
     

Sub-Total

 
         
   

(FOR OFFICE USE ONLY)

2-3 Day Mail, Shipping/Handling $6.95  
     

Total Due

 

COMMENTS & SPECIAL REQUIREMENTS