Country Garden
Order Form
5000 E.Lake Rd.
Milton,Fl.32583
www.countrygdn.com
Thank
you for choosing Country Garden for all your Brugmansia needs! |
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| Please fill the following fields making sure that all the information provided is correct. | ||
| Customer Information | ||
| Name: | ||
| Street Address: | ||
| City: |
State: | ZIP: |
| Order Information | |||
Product
Name |
QTY. |
Description |
Price |
| Additional Comments: | SUBTOTAL |
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| FL
residents add 7% sales tax
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TOTAL |
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| Please make check or money order for the TOTAL amount payable to Country Garden. |