MAIL TO:  Fancy Plants Farms
35 Walker Lane
LAKE PLACID, FLORIDA 33852
FAX:  1-863-699-0173 TOLL FREE 1-800-869-0953

FRUIT PRICE LIST AND ORDER FORM

Sender Name______________________________________________

Address__________________________________________________

City________________________State_______ZIP_______________

Telephone (_______)________________

Method Of Payment:    Check or money order enclosed $

Please charge to my:             VISA      MASTERCARD

Card NO.                                                 Expiration Date ____/____

Signature

 


TO ENSURE DELIVERY IN TIME FOR THE HOLIDAYS PLEASE
                                ORDER BY:   DECEMBER 10
 

 

Order Summary

 

My Order

 

 

Gift No. 1

 

 

Gift No. 2

 

 

Total

 

 

PLEASE SHIP TO ME:

Item

Price

Shipping

Total

 

 

 

 

 

 

 

 

 

SHIP GIFT BOX TO:    (Please Print)

Name

Address

City                                     State                             Zip

Item

Price

Shipping

Total

 

 

 

 

 

 

 

 

GIFT CARD TO READ

 

 

SHIP GIFT BOX TO:    (Please Print)

Name

Address

City                                     State                             Zip

Item

Price

Shipping

Total

 

 

 

 

 

 

 

 

GIFT CARD TO READ

 

 

SHIPPING CHARGES
ITEM (LBS.)    SHIPPING
#15 XX    $ 21.00
#10 XX    $ 17.00
#5   XX    $ 14.00

 

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