541-746-3922 fax - Gossler Farms Nursery
541-746-3922 fax - Gossler Farms Nursery
541-746-3922 fax - Gossler Farms Nursery
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✁<br />
1200 Weaver Road<br />
Springfield, Oregon 97478-9691<br />
(<strong>541</strong>) <strong>746</strong>-<strong>3922</strong> • Fax (<strong>541</strong>) 744-7924<br />
ORDER BLANK<br />
Please Print<br />
Oversize shipping charge $10.00<br />
TOTAL PLANTS<br />
GROUND SHIPPING<br />
(20% West of Miss. or 30% East of Miss.)<br />
MINIMUM PACK/SHIP $10.00<br />
2nd or 3rd DAY UPS, OR WHOLESALE<br />
(10% Packing + Ship at Cost)<br />
PAYMENT ENCLOSED<br />
CARD # ______________________________________________________________ EXPIRES __________<br />
SIGNATURE___________________________________________________________<br />
DATE________________________<br />
SHIP DATE ❑ FALL ❑ SPRING<br />
(See Terms)<br />
No orders for<br />
Spring accepted after<br />
MAY 1<br />
NAME _____________________________________________________________________ PHONE _____________________<br />
MAILING ADDRESS _________________________________________________________ FAX_________________________<br />
CITY, STATE, ZIP ____________________________________________________________ SUBSTITUTIONS:<br />
PREFERRED SHIPPING ❑ UPS GROUND ❑ UPS 2nd DAY AIR ❑ PARCEL POST<br />
METHOD: (See Terms) ❑ UPS 3rd DAY SELECT ❑ PRIORITY PARCEL POST<br />
DELIVERY ADDRESS<br />
(If different from above)______________________________________________________<br />
UPS will not deliver to a P.O. Box<br />
(size and weight could affect final<br />
choice. See Terms)<br />
❑ DO NOT SUBSTITUTE<br />
❑ USE SUGGESTED<br />
SUBSTITUTES<br />
QUANTITY NAME OF PLANT & SIZE EACH PRICE<br />
Order Online at:<br />
www.gosslerfarms.com
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