Internet Mail Order Form

For Office use only.
Received:               
Date shipped:               
Preferred Shipping Date:   

To order select Print on your browser to print out this form on your printer.

Once printed, fill out the form and mail it with your check or money order.



Shipping Months: October 1 - March 31
Mail Order Form to: Boxes, Packaging & Shipping Cost
Nearly Native Nursery, Inc. $0.00 to $10.00 -- $15.00
776 McBride Road $10.01 to $25.00 -- $17.00
Fayetteville, Georgia 30215 $25.01 to $50.00 -- $19.00
770-460-6284 $50.01 to $75.00 -- $21.00
Fax: 770-460-7050         $75.01 to 100.00 -- $23.00
E-mail:    $100.01 and up -- 28% of order subtotal.
info@NearlyNativeNursery.com


*Larger plants 5 feet (60 inches) in height must add $8.00 surcharge for oversize UPS charge.
*For shipments to more than one address, call for shipping instructions.

UPS Street Shipping Address (No P.O. Boxes)

Name: ___________________________________________________

Address: ________________________________________________

City: _____________________ State: ________ Zip: ________

Phone #: (______)_______-___________ E-mail:_________________

Credit Card Type: __MasterCard, __Visa

Credit Card Number: __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __

Expiration Date (mm yy) ___ ___

Card security code (CSC) __ __ __ __

Signature: ________________________________________________


Make check or money order payable to:  Nearly Native Nursery, Inc.

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Name of Plant- - - - - - - - - - - - - Quantity- Size - Price - Total
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|
________________________________________|______|______|______|______|

                                           Order Subtotal $ _________

   County name for Georgia residents ____________________

                   and 6% Sales Tax for Georgia Residents $ _________

                                     Packaging & Shipping $ _________

                                              Grand Total $ _________

List any alternative plants to substitute if any of above are sold out on the back of this form.

Make check or money order payable to: Nearly Native Nursery, Inc.

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