ORDER  FORM
 

Alpen Gardens
12010 NE Flett Rd
Gaston, OR 97119
Phone: 503-662-3951/Fax: 503-662-4952
Email:

info@alpengardens.com
Website: www.alpengardens.com


Name ______________________________________
Address ____________________________________
City _______________________ State/Country _____________

Zip Code  __________
Phone Number ________________

e-mail_______________________________
Ship Date_______________________ Prior to April 1st add
$2.00 for packing materials.

    

Tuber Name                           Quantity                       Price                          Total
   
     


 


 


 


 


 


 


 


 


 


 


 

         FREE TUBERS WITH EVERY ORDER!(our choice)  

                                                                                        Subtotal______________      

  
Shipping & Handling:      

                                                                                         Shipping______________
1-5   tubers  $6.00      
6-10 tubers $7.00     

11-15 tubers $8.00                                                   Early Shipping Fee______________
Domestic orders over $100.00 ship Free   


     

                                                                           Foreign Inspection Fee___________
Early Shipping Fee: Prior to April 1st $2.00   


Foreign Inspection Fee: $25.00 (For out of USA residents

only)                                                                               Grand Total______________  


Personal Checks or Money Orders Accepted
Mastercard/Visa

Number:____________________________________
Expiration: ____/_____  Signature:

___________________________________

 

 

Substitutions (of equal or greater value) accepted?  Yes___  No____
 Preference of type, size and color appreciated.

 

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