| Please note: We are no longer accepting mail order requests for 2007. Thank you for your interest.
ORDER FORM Name: ____________________________________________________________ Street: ____________________________________________________________ Town/City: ____________________________________________________________ Province: ____________________________________________________________ Postal Code: ______________________________ Telephone #: ____________________________________________________________ Is this address HOME or WORK? Please circle.
1._______________________________________________$_____.____
2._______________________________________________$_____.____
3._______________________________________________$_____.____
4._______________________________________________$_____.____
5._______________________________________________$_____.____
6._______________________________________________$_____.____
7._______________________________________________$_____.____
8._______________________________________________$_____.____
9._______________________________________________$_____.____
10.______________________________________________$_____.____
11.______________________________________________$_____.____
12.______________________________________________$_____.____
SUBTOTAL:_______________________________________$_____.____
6% GST___________________________________________$_____.____
8% PST (Ont. residents_______________________________$_____.____
Shipping Charges:These are different for each parcel and are determined by the post office at the time of shipping, according to weight, size and distance shipped. We will add the Canada X-Press Post shipping charge to your invoice after coming back from the post office and then send the invoice (or, in the case of credit card payment, the receipts also)to you in a separate letter.
TOTAL: ____________________________________________$______._______
PLEASE CIRCLE METHOD OF PAYMENT:
Cheque/Money Order/Visa/Master
Card #:__________________________________________________________
Expiration Date: ____ ____ / ____ ____ (mm/yy)
Please note that currently we are charging only the exact cost of the delivery shipping charge.We are covering the cost of bare-rooting, washing and packing the hostas.
Our mailing address is: Hosta Choice Gardens, Inc. 4897 Irish Drive, R.R. # 4 Appin, Ontario, N0L 1A0 _______________________________ Phone: (519) 289-5471 Fax: (519) 289-0071
|