Nicholls Gardens - Woody Plants Order Form
4724 Angus Drive Gainesville, VA 20155
Email: NichollsGardens@juno.com
Telephone/Fax (Fax 24 hours a day) (703-754-9623)
Mailing Address DATE:______/____/________
Name ___________________________________________________________________________
Address ________________________________________________________________________
City, State and ZIP ___________________________________________________________
Shipping Address (if different)
Name ___________________________________________________________________________
Address ________________________________________________________________________
City, State and ZIP ____________________________________________________________
Phone: DAY (_____) _____________ NIGHT: (_____) _____________
Email: ______________________________________ Needed to inform you when we ship.
--QTY-- | ------DESCRIPTION OF ITEM------ | ----PRICE---- | ----TOTAL------
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_______PLEASE NOTE THAT WOODY PLANTS ARE NOW GARDEN PICKUP ONLY.________________
_______IF YOU REALLY WANT IT SHIPPED AND ARE WILLING TO PAY $$$ ________________
_______CALL FOR ESTIMATED SHIPPING COSTS._______________________________________
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___________________________________________ Subtotal _______________
MINIMUM ORDER $20.00 ............................ Ship/Hand _______________
VA residents add 5% Sales Tax _________________
Please check shipping dates. TOTAL _______________
Woody plants have specific shipping dates.
If sold out: Substitute [___] Refund [___] Please list substitutes on back of this form.
Payment enclosed check [___] money order [___] VISA [___] MASTERCARD [___]
Card Number __________________________________ Expiration Date ____/______
Signature _____________________________________________
Thank you for your order. - - - 
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