 OLD
ROSE NURSERY
1020 CENTRAL ROAD, HORNBY ISLAND, B.C., V0R1Z0
Phone: 250-335-2603 Fax: 250-335-2602
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Name ______________________________________________________________________________________
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| Address _______________________________________________________________________________________ |
| City______________________________________
Prov.____________________________Postal Code__________ |
| Area Code ________ Phone_____________________
Fax_____________________ |
| e-mail
________________________________________________________________________________________ |
| Delivery
Method:
Bus? _______ Pick Up? _______ |
Deliver?
Oct___ Nov___ April___ May___
June___ |
| When
(approx.)?__________ Other ? ___________ |
If
we can't supply a plant shall we: |
| Closest
bus station? ___________________________ |
Substitute
(list below)?____Credit?___ Refund?___ |
| Where
did you hear about our nursery? ____________________________________________________________________ |
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TO
ORDER: Please list quantity and name of rose (and substitutes
below) (Use separate sheet if necessary)
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How
many? Name
of Rose
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Cost |
How
many? Name
of Rose |
Cost |
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Total
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