Homestead Farms

3701 Highway EE Owensville, MO 65066

Phone/Fax: (573) 437-4277 or 1-888-314-3148

 

Name: ________________________________

Phone: _________________E-mail: ________

Shipping Address:

 

Street: _______________________Apt______

 

City: _______________State_____ZIP_______

Note: If billing address is different than shipping address, please add to back of form.

 

Payment Method: Check Enclosed (___)

MasterCard (___)

Visa (___)

Discover (___)

Card #________________________________

 

Exp. Date___________ C.V.V #____________

 

Signature______________________________

 

Use back of form for UPS delivery instructions (rural residents & P.O. Box holders)

 

Qty.

Name of Variety

Price Each

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use back of order form for additional space. TOTAL from reverse side

 

May we substitute if sold out? Yes (___)

TOTAL (no minimum order)

 

No (___)

 

 

Substitution/Daylily Bonus List:
(Bonus plants for daylily orders of $30 or more)

 

 

 

MO residents add 5.6% sales tax

 

 

UPS Ground ($9.50 for orders of $20 or less, $13.00 for orders of $20.01 to $75, $17.50 for orders over $75.01)

 

 

Priority Mail ($12.00 + $1 per plant)

 

Desired shipping date (weather permitting):

GRAND TOTAL