Green Hill Hostas Order Form

To order, please fill in the boxes on this frm.
Then submit the form by pressing the "E-Mail Form" button at the bottom of this page.

(If you prefer to send your order by phone, fax or postal mail, please print and use this same form. )

My order category is (please select one)
Retail	= Orders may be of any size. (There is no minimum order.)
Wholesale	= Must total $350 or more, with cultivars in lots of ten.

Please list the quantity, names and prices of the hostas you wish to order:

How Many	of (Hosta's Name)	Price each	Subtotal
				*
Total for all hostas:
The Gossip Jr newsletter is $7 one year, $15 for three.
Subscribe?	For 1 year For 3 years
Shipping choices
	East of Rocky Mountains $12 UPS
	Rocky Mountains and West $18 USPS Priority Mail
Omit shipping if wholesale customer -- it will be added later.
Shipping charge:
Grand total including everything:

Please tell us where this order should be sent:

Ship to (Name):		*
Nursery:
Shipping Address 1:		*
Shipping Address 2:
City and State:	*
Zip or Postal Code:
Phone:
E-mail:		*
Shipping Date:

Please tell us here how you will pay for this order:

Payment method:	Check VISA MasterCard.	*
If paying by credit card	please enter the following:
Card number:
Expiration Date:
Security code:
The security code:	is the rightmost 3 digits on the credit card's back side (signature side)
If paying by check:
Please mail check to:	Green Hill Farm, PO Box 16306, Chapel Hill, NC 27516.
	Your order will be processed once we receive your check.

Enter the following if billing goes to a name or address that differs from the shipping information above.

Bill to (name):
Billing Address1:
Billing Address2:
City and State:
Zip or Postal Code:
Billing Phone:
Billing Email:
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Please add comments on anything about the order, if needed:

Press "email form" to send in your order.

If you get frustrated with this form, just call us. We'll fix it.

Orders also may be placed by fax, phone or post-office mail.

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Thank you for doing business with us. Hosta Hosta!!

Copyright Green Hill Farms Inc. 2008 Revised October 27, 2008

http://www.hostahosta.com