Noweta Gardens, Inc.
18389 Michigan Avenue
Three Rivers, MI  49093

 

SHIP TO: Name:   ____________________________________________________
                                (Please Print)
Street: ____________________________________________________
No P.O. Boxes    
City:     ____________________________________________________
    
State:  _________         ZIP:  ________________
    
Date:  __________      Ship When: ______________
    
This form is to be used for orders that deliver to the Continental U.S. 48 States Only

SIZE

QTY. PER
PACKAGE

NAME OF VARIETY
OR ITEM

PRICE

 TOTAL
PACKAGES

TOTAL
PRICE
           
           
           
           
           
           
           
           
           
           
           
Make checks payable to Noweta Gardens Inc.
Note: Checks returned for unsufficient funds will incur a $10.00 charge.   No C.O.D.'s or charge cards.		 TOTAL ORDER $
Shipping & Handling Charges
$ Amount of order Rate
$0.00 - $38.00 $10.00
$38.01 - $75.00 $12.00
$75.01 - $110.00 $16.00
$110.01 + (add $.10 for every dollar over $110.00)
Michigan residents add
6% sales tax		 $
SHIPPING & HANDLING $
TOTAL AMOUNT DUE $