Tranquil Lake Nursery

Gift Order

Print Order Form and Mail with your payment to:

Tranquil Lake Nursery   45 River Street    Rehoboth, MA 02769 

     or Telephone Orders:  508-252-4002   

or send us an e-mail with request - do not e-mail credit card information, we will call you.

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    Send Gift Order of Daylilies or Iris To:

    Name _______________________________________________________________________

    Address ____________________________________________________________________

    City ____________________State ____________  Zip______________________________

    Phone Number _____________________ E-mail ______________________________

 

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    GIFT ORDER FORM: From

    Name _______________________________________________________________________

    Address ____________________________________________________________________

    City ____________________State ____________  Zip______________________________

    Phone Number _______________________ E-mail _____________________________

   

   
    _______________________________________________________________________________________________________________________________

	Quantity	Name of Variety	Total Price
1
2
3
4
5
6
7
8
9
10
		Subtotal for Gift
		$1.50 handling charge per gift certificate	$1.50
		Shipping   $15.00 per address
		Total  Gift Order

 

    Gift Message: ___________________________________________________________________________

                               ___________________________________________________________________________

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    Circle the appropriate payment method:

•             Check or Money order   (Payable to: Tranquil Lake Nursery)




•             Credit Card:               




•                             Visa                   Master Card                Discover                AMEX

•                             

•                             Credit Card Number __________________________

•                             Expiration Date___________

   

                            Security Code___________




•                             Signature (required)___________________________________