Name
Street Address
City
State
Zip Code
Day Phone
Home Phone
E-mail
FAX
	SHIPPING ADDRESS OTHER THAN ABOVE
Name (other than Payee)
Street Address
City
State
Zip Code	Phone
We can furnish an occasion card! Comment on  Card

          Gift Certificates are available in any amount desired. We can furnish an occasion card, too!

Please enter the following product information:

QTY	ITEM DESCRIPTION	SIZE	PRICE	AMOUNT
SUBTOTAL
SHIPPING	SHIPPING CHARGES:  MIN. $7.95,   ORDERS of $18.95 to $29.99.....$10.95 /  ORDERS of $30 to $39.99.....$11.95 /   ORDERS of $40 to $49.99.....$12.95 /    ORDERS $50 to $59.99.....$13.95 / ORDERS  of $60 and up.....Add 20% Internet Order Page Special! Orders $125 and up....Add only 15%
SALES TAX	GA RESIDENTS  7% (CALCULATE AFTER SHIPPING CHARGES ARE ADDED)

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TOTAL

	BILLING
Credit Card	VISA,   MASTERCARD,   DISCOVER,   AMERICAN EXPRESS
Cardholder Name
Card Number		Expiration Date
Address the credit card statement is sent to if different from above (a security question)
Another security question requested: MC / VISA / DISCOVER: 3 Digit Customer Code on back of card on white signature line AMERICAN EXPRESS: 4 Digit Customer Code on front of card

Preferred shipping date : (Nov 1-Dec 10 on selected plants), Dec 15-31, Jan 1-31, Feb 1-28,

                                            March 1-31, April  1-27

If we are out of an item may we substitute, or may we contact you for a substitution?

Thank you for trusting Johnson Nursery

 with serving your fruiting plant needs!

All information provided is used solely by Johnson Nursery, Inc. and is not shared or sold.