SASSAFRAS GARDEN & FARM ORDER FORM
Floyd H. Boatwright, 2249 N. 5th St., Hartsville, SC 29550-7846
Phone: (843) 332-1402, E-mail: fhbsass@roadrunner.com
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NAME _________________________________ SHIP DATE___________________________
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E MAIL ADDRESS _____________________________________________
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ADDRESS _________________________________________________________________
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CITY ____________________________ STATE _________ ZIP_________________
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DAYTIME PHONE ___________________________ NIGHT ____________________________
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ROW
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LOC#
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NO OF PLANTS
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CULTIVAR NAME
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$
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TOTAL
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Please list substitutes on back.
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SUB TOTAL
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GROUND SHIPPING $8.00+ $1.00 PER PLANT OVER 3 PLANTS
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TOTAL
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