Print this form, fill in, and mail to:
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| Stone-Ricks Farm | Order Form |
| 262 Trout Lane | Customer No. |
| Creston NC 28615 | Order Date |
| ( 336)385-1590 | |
| Ship Order To: | |
| Name: | Tree Farm Use Only < /TD> |
| Street Address: | Order # |
| City, St., Zip: | Rec'd |
| Phone: | 6>Shppd |
| e-mail: | Shpcst |
| (Please list trees in the order they occur in the List.) |
| Num Order | Species and Listed Age | |||
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| If trees are not dormant, do you prefer: | Total Order ($5.00 Minimum) | . | |||
| o Ship Next Day Air (add $12.00 extra to estimated shipping). | Washington Residents - 7.8% Sales Tax | . | |||
| o Hold order until trees are dormant. | Estimated Shipping is by US Priorty Mail Charges | . | |||
| Would like us to substitute trees? | Print out List is subject to change if out of that species. | . | |||
| Yes o No o | Total Payment Enclosed | . | |||