Return to How to Order.
Arkansas Berry & Plant Farm Phone or Fax: 479-997-1480
10340 Turner Bend Dr.
Mulberry, AR 72947
SOLD TO: SHIP TO: (If not the same)
___________________________________ ___________________________________
Name Name
___________________________________ ___________________________________
Address Address
___________________________________ ___________________________________
City, State, Zip City, State, Zip
___________________________________
Phone Number
| | | P R I C E |
| Item | QTY | Each | Total |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
|----------------------------------------------+-----+----------+----------|
| | | | |
----------------------------------------------------------------+----------|
SUB TOTAL | |
|----------|
Shipping & Handling | |
|----------|
Total | |
------------
Approx. Shipment date:______________________________________________________
Make check payable to "Arkansas Berry & Plant Farm".