Fritz Creek Gardens Order Form
1. Plants/Products
Qty. Plant Name Price/Size Total
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
Subtotal: $
Shipping ($1.75 per plant): $
TOTAL: $
2. Billing & Shipping Address
Name:___________________________________________________

Address:_________________________________________________

City: ____________________________________________________

State: _______________________  Zip: ________________

Phone:*___________________________________________

E-mail*___________________________________________
 
3. Ship To Address (If Different From Billing)
Address:_________________________________________________

City: ____________________________________________________

State: _______________________  Zip: ________________

Phone:*___________________________________________
*If we need to contact you about the order.
 
4. Payment Method
Check Enclosed (Payable to Fritz Creek Gardens).
Credit Card (Please charge my VISA or MasterCard).
 Card No.: _________________________________________________________

Expires:__________________________________________________

Name on Card:_____________________________________________

Signature:_________________________________________________

Remit To:

Fritz Creek Gardens
PO Box 15226, Homer, AK 99603
Phone: (907) 235-4969
Fax: (907) 235-8116