Please print this order form, then follow instructions at
bottom of this page.
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Date: |
Amount Enclosed: |
| Name: |
| Address: |
| City, State, Zip Code |
| Phone Number: (in case of questions) |
| e-mail: |
| Ship to: (if different) |
| Address: |
| City, State, Zip Code |
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Total |
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S & H |
$3.50 |
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Order Total |
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| Payment method: |
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| Check or Money order: (Payable to Fragrant
Garden Nursery) |
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| Visa Mastercard
American Express Discover |
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| Credit Card
Number:______________________________________________________ |
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| Expiration
Date:_________________________________________________________ |
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| Signature:______________________________________________________ |
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For your convenience please print this order form, fill it out, then mail or fax
your order to:
Fragrant Garden Nursery
P.O. Box 4246
Brookings, OR 97415
Fax: (541)412-8841 (with credit card information)
Can you please help us? We are trying to figure out how you heard
about us. Was it through:
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Word of mouth ____
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Newspaper/ Magazine article
____ Which one?______
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Newspaper/ Magazine ad
____ Which one? _____
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Search engine ____ Which
one? _____
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Link from another Website
____ Which one? _____
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Other _____ What? _____
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