Small World Gardens
16204 Mistora Rd., Chester, VA  23831
Phone Numer: (804-520-0807) Fax: (804-520-8674)
Handy Print Out of our Order Form Our e-mail: buckmdm@aol.com

Date  Name: 
Mailing/UPS Delivery Address 
City  State   Zip Code 
Area Code Phone: E-Mail Address:
Shipping: Choose one: UPS    or U S Postal Service Priority Mail   (USA only)
Shipping Fees:  $15.00 US plus $3.00 per plant (Next Day Shipping add $42)
Desired Ship Date:
(All prices are US funds only, please.)
Quantity Ordered     Names of Cultivars
May we 
substitute?
 Unit 
Price		 Total Price
 

Check #   SUBTOTAL
List your choice of substitute plants:  
SHIPPING

 
GRAND TOTAL
 
Please enclose your order form & your check or money order, payable to "Michael Miller", for the GRAND TOTAL and mail both to us at the address above.

  Please print the order form and fax to 804-520-8674 or e-mail Michael Miller