GARDEN PERENNIALS
 85261 Hwy 15, Wayne, NE 68787| phone: 1-888-375-3615
ORDER FORM: Please print this page, complete, then mail.

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Preferred Shipping Date
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List your choice of substitute plants on a separate sheet page and include w/price sheet.
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1 . . . . 15 . . . .
2 . . . . 16 . . . .
3 . . . . 17 . . . .
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5 . . . . 19 . . . .
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12 . .. . . 26 . . . .
13 . . . . 27 . . . .
14 . . . . 28 . . . .
Sub-Total
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Nebraska Sales Tax 5 1/2%
 .
Postage
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TOTAL
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METHOD OF PAYMENT
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