Homegrown Treasures
11920 Duck Slough Rd.
Beardstown, IL 62618
Phone:(217) 323-5184 or FAX: (217) 323-1921
E-mail: homegrow@inx.net
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To order, please print this orderform and mail to:
Homegrown Treasures
11920 Duck Slough Rd.
Beardstown, IL 62618
Customer Information
Name:____________________________________________
Address:__________________________________________
City:_________________________State:_____Zip:________
Phone:__________________
Ordering Information
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Item#_______ Description:________________________ Qty:___ Price:_________
Subtotal:__________
Shipping Charges:________
IL. Res. Sales Tax:________
Total Due:_________
Shipping Charges:
Shipping charges are listed per each description. If ordering several arrangements, please e-mail me for shipping prices. It will vary depending on the size of the arrangements ordered and how many.
Method of Payment:
(Please Circle One)
Check , Cashiers Check or Money Order - Made payable to: Homegrown Treasures
