MARIETTA GARDENS ORDER FORM
P.O. Box 70, Marietta, NC 28362
sales garden: (910) 628-9466 fax: (910) 628-7578

Name
Address
City
State
 Zip
Phone
Email
Shipping Date
May We Subsitute?    Yes No
METHOD OF PAYMENT
Check        Money Order
Visa       Master Card      Expiration:
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1 12
2 13
3 14
4 15
5 16
6 17
7 18
8 19
9 20
10 21
11 22
Gift Certificate Amount
Sub-Total
(Priority Mail: $10.00 + $0.75 per plant for U.S. customers)           Shipping
               TOTAL

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