Heirloom Roses Canada
P.O. box 9106 Halfiax, NS B3K 5M7 (902) 832-2832
website: www.oldheirloomroses.com Please use our contact-us page to email us.
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ROSE & SHRUB PRINTABLE ORDER-FORM
To print the form simply hold down the "Ctrl Key" located on the bottom left had corner of your keyboard and then hit the letter P.
Your printer screen should then pop up and follow the instructions on it. Mail to the above address with A 50% DEPOSIT
THANK YOU FOR YOUR ORDER!.
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NAME:_________________________________________ORDER DATE:___________________
ADDRESS:_____________________________________________________________________
TOWN/CITY:________________________________PROV/STATE:_________________________
POST./ZIPCODE:______________________EMAIL:_____________________________________
TEL.#:____________________________________SHIPPINGDATE:________________________
We will contact you via email should any questions arise from your order. May we subsitiute? YES NO
Plant sub total
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Shipping Charges
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(two previous entries) Sub Total:
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ADD PROV. TAXES: NS,NF,NB, PAY 13%
REST OF CANADA PAY 5%
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U.S.residents export documents
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12.00 US
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U.S Shipping is via express air mail
due to the delays encountered at
customs.
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PLANT ORDER TOTALS
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PAYMENT ENCLOSED
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All imports into the U.S. require plant inspection documents
stating that they are free of disease fee is $ 12.00 per order
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MINIMUM ORDER TO U.S. ...........................$25.00
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List alternative choices here. Your bonus plants and substitutes when plants are previously sold out will come from this list.
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Be sure to read our Ordering Instructions &
Shipping Charges before filling out this form.
We require a 50% deposit on all mail in
orders with the remainder due after we
confirm your order. Thank you
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