This is the LIVE PLANT Order Form. *print out this form and fax or mail it in.*
The plants are $3.00 each, plus shipping, with a minimum order of 12 plants.
There are no minimums per variety. You may mix peppers and tomatoes in any quantity as long as you meet our 12 plant minimum and your Total Order is a multiple of six (6) (12, 18, 24, 30 etc) to fit our packaging. For the first box of 12 plants, shipping to East is $10, Central is $12 and West/Far is $14, with $5 for each add'l box of 6 or 12 plants. If you have Tomato Plants in your order you must add $5 Central and $10 West for Expedited Shipping. Plants shipping to Puerto Rico add $20 Dept of Agriculture fee. For additional information about ordering Click Here.PLEASE PRINT CLEARLY!!! and THANK YOU FOR YOUR ORDER.
| 2008 | US Mail
Address (=Credit Card Billing Address) |
UPS Shipping
Address (except AK, HI, PR - ship via US Mail) | ||||
| Name | ||||||
| Business? | ||||||
| Address | ||||||
| City,State,Zip | ||||||
| Phone (We Must have for shipping!) |
Day# | Night# | ||||
| Please write very clearly! | ||||||
| Requested Delivery Week | Apr 7 - Apr 14 - Apr 21 - Apr 28 May 5 - May 12 - May 19 - May 26 June 2 - June 9 - June 16 |
Please read our SUBSTITUTE policy, and how we handle unavailable chiles. | ||||
| Substitutes | 1. | 2. | 3. | 4. | 5. | 6. |
| Plant Name | QTY | Plant Name | QTY | SHIPPING CHARGES are based on your region: East,Central, West, or Far. See MAP. | |||||||
| 1. | 11. | ** If Tomatoes in order add $5 Central, $10 West. | |||||||||
| 2. | 12. | West & Far | Central | East | |||||||
| 3. | 13. | Qty | Plants | S/H | Total | S/H | Total | S/H | Total | ||
| 4. | 14. | 12 | $36 | $14 | $50 | $12 | $48 | $10 | $46 | ||
| 5. | 15. | 18 | $54 | $19 | $73 | $17 | $71 | $15 | $69 | ||
| 6. | 16. | 24 | $72 | $19 | $91 | $17 | $89 | $15 | $87 | ||
| 7. | 17. | 30 | $90 | $24 | $114 | $22 | $112 | $20 | $110 | ||
| 8. | 18. | 36 | $108 | $24 | $132 | $22 | $130 | $20 | $128 | ||
| 9. | 19. | 42 | $126 | $29 | $155 | $27 | $153 | $25 | $151 | ||
| 10. | 20. | Each add'l box | $5 | $5 | $5 | ||||||
| Terms: Check, MO, MasterCard, Visa, Discover, AmEx | PLANT TOTAL QTY _____ x $3.00 each | $ | |
| Name on Card: | Books and Supplies Total | $ | |
| Card Number: | (NJ residents only) 7% Sales Tax | $ | |
| Exp.Date: | CID/V-Code: | (see chart above) Shipping Charges | $ |
| CID= AmEx: on front of card, 4 digits above & right of #; Visa, MasterCard, Discover: on back of card, last 3 digits in strip where you sign your name |
Got Tomatoes? Add $5 Central, $10 West | $ | |
| Puerto Rico add $20 Dept of Agriculture fee | $ | ||
| Signature: | GRAND TOTAL | $ | |
| Please make Money Orders or Checks payable
to: Cross Country Nurseries,PO Box 170, Rosemont, New Jersey 08556-0170 Phone (908)996-4646 | Fax (908) 996-4638 | |||