Tranquil Lake's Order Form

Feel free to print out this order form for your convenience if your choice to order from our catalog is through mailing.

Tranquil Lake Nursery, Inc.	45 River Street	Rehoboth, MA 02769
Telephone Orders: 1-800-353-4344	Fax Orders:1-528-252-4740

Name________________________________________________________
Address______________________________________________________
City________________________State_____Zip Code_________________
Phone Number_________________________________________________
United Parcel Delivery Instructions
Rural residents and P.O. boxholders please give delivery instructions:________
____________________________________________________________

Order No.:______________
Received:____________________
Acknowledged
Shipping Date:____________________
Shipped:________________________
Shipped Via:______________________

May We Substitute if sold out? (yes/no)

	Quan.	Name of Variety	price	Total
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Check the appropriate payment method:
Check or Money order(Payable to:Tranquil Lake Nursery)
Credit Card:Visa MasterCard
Card Number __________________________
Exp. Date___________ Signature(required)___________________

Subtotal this side
Subtotal for gift
Subtotal
Mass Residents 5% Sales Tax
shipping $6.00 per address
***Optional air shipping $10
Total

Substitutes 1._______________________________
no subs=    2._______________________________
no bonus    3._______________________________
plants