Violet Gallery
1590 Cranberry Road, York Springs, PA 17372
Ph (717)528-8268 Fax (717)528-8923

To print this form, just hit the PRINT button at the top of your screen. Please fill it out and either fax it or snail mail it to us. If you are using Internet Explorer, just click File, Send, Page As Email, to violetgallery@embarqmail.com. It will appear in the body of the messsage where you can fill it out and email it to us. You can also order by clicking the 'Contact Us' link at the bottom of this page. In the message window, just write the quantities, varieties and substitutes you desire. I'll email a reply to you with the availability of your request and the total price. Send us a check and I'll ship the order. We also accept Visa and MasterCard.
                                  *We cash checks promptly, but won't charge your credit card until we ship.*

PRICES ARE AS FOLLOWS:

Price is $6.00 each for plants. *Leaves are $2.25 per package of 2 leaves. We have no minimum order, but minimum Shipping Rates apply. Please see the Shipping Rate Chart.to calculate the packing and shipping cost of plants and leaves. Shipping costs for orders containing supplies we will calculate for you and notify you. If you pay by Visa/MC, I can calculate and charge the correct amount before shipping if you desire. We ship from May -October depending on the weather. PLEASE LIST SEVERAL SUBSTITIONS. If you DO NOT choose subs, WE WILL SELECT VARIETIES OF OUR CHOICE. For PA orders, please include 6% sales tax.

* We may ship 1 leaf of some our varieties in limited supply.
IMPORTANT: If you are CHARGING the order, I will need your home STREET ADDRESS even if you want it shipped to a PO Box or work address.
NAME - ___________________________________________
STREET ADDRESS-________________________________________
__________________________________________________
__________________________________________________
                          ~SHIP TO if different from above~
PHONE -
FAX -
EMAIL -
     
~Alternate Contact Info.~
NAME - ___________________________________________
ADDRESS- ________________________________________
__________________________________________________
__________________________________________________
PHONE -
FAX -
EMAIL -
QTY.
LEAF
VARIETY
EACH
TOTAL
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
 
SUBSTITUTIONS (Please list several or WE WILL CHOOSE)
 
         
         
         
         
         
         
        Visa/MC/Amex #__________________________
Exp.Date ________     Sec.Code                 
Order Total
 
  Shipping  
Subtotal
 
   
(For Pennsylvania Residents)  6%PA Tax (also on shipping)
 
        TOTAL  

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