GORMLEY GREENERY 6717
MARTHA DRIVE • CEDAR HILL, MO 63016 636-274-7435
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GORMLEYGREENERY@aol.com
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Date:
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Ship to: ______________________________________________________
Street:. _______________________________________________________
City: _________________________ST_________________ZIP___________
Phone: ______________________________E-Mail:______________________
Quantity
Name of
Variety
Price____________
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Subtotal
5.725% Sales Tax - MO Residents Only___________
In the event we are sold
out of a variety, may we _____Substitute ______Refund?
Please include substitution list with your order. Thank You!!!