Order Form - Fragrant Garden Nursery

Please print this order form, then follow instructions at bottom of this page.

Amount Enclosed:

Date:
Name:
Address:
City, State, Zip Code
Phone Number: (in case of questions)
e-mail:
Ship to: (if different)
Address:
City, State, Zip Code
Quantity	Variety	Each	Total

















		S&H	$3.50

	Order Total

Payment method:
Check or Money order: (Payable to Fragrant Garden Nursery)
Visa \| Mastercard \| American \| Express \| Discover
Credit Card Number:______________________________________________________
Expiration Date:_________________________________________________________
Signature:______________________________________________________

For your convenience please print this order form, fill it out, then mail or fax your order to:
Fragrant Garden Nursery
P.O. Box 1546
Roseburg, OR 97470
Fax: (541) 672-6519 (with credit card information)

Can you please help us? We are trying to figure out how you heard about us. Was it through:

Word of mouth ____
Newspaper/ Magazine article ____ Which one?______
Newspaper/ Magazine ad ____ Which one? _____
Search engine ____ Which one? _____
Link from another Website ____ Which one? _____
Other _____ What? _____

Top of Page

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