| Order Form |
| Sold to: | Ship to: |
| Date _____________________ | __ Check here if shipping address is the same. |
| Name __________________________________ | Name ___________________________________ |
| Address ________________________________ | Address _________________________________ |
| City _________________ State ___ Zip _______ | City __________________ State ___ Zip _______ |
| Plant No. | Name | Qty | Price Ea. | Total |
|---|---|---|---|---|
| Subtotal | ||||
| Shipping from chart below. | ||||
| Books will be shipped separate. Add $3 for Book Shipping | ||||
| 5.5% Sales Tax - WI Only | ||||
| Total | ||||
|
Send order to: Vandenberg Perennial's W7342 Anderson Ave. Shawano, WI 54166 |
|
|||||||||||||||||||||||||||