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335 S. High St.


ORDER TOLL FREE 1-800-347-7609 Mon-Fri 8:00am to 4:30pm CST


Mon-Fri 7:30am to 5:30pm CST Sat 8:00am to 3:00pm CST


FAX TOLL FREE 1-800-374-6120 Available 24 hours a day, 7 days a week


ORDER ONLINE www.edmundsroses.com Available 24 hours a day, 7 days a week


INQUIRY HOTLINE 1-888-481-7673 Mon-Fri 8:00am to 4:30pm CST


E-MAIL: info@edmundsroses.com


❑ Check or money order ❑ Gift Certificate ❑ VISA


❑ DISCOVER ❑ MASTERCARD ❑ AMERICAN EXPRESS


Credit Card No. Signature of card holder


LINE#


1 2 3 4 5 6 7 8 9


10 11


12 13 14 15 16 17 18 19 20


CHART FOR PACKING AND INSURED DELIVERY CHARGES


up to $25.00


$25.01 to $50.00 $50.01 to $75.00 $75.01 to $100.00 $100.01 to $150.00 above $150.00


$7.95


$10.95 $14.95 $18.95 $21.95 $25.95


ALLOW 5 TO 7 BUSINESS DAYS FOR TRANSIT TIME


SHIPPING RESTRICTIONS: We do not ship to AK, HI or outside the continental United States.


MERCHANDISE TOTAL


Packing, Insurance & Delivery Charge (see chart) (FREE SHIPPING if merchandise total is $100 or more. Free shipping offer expires Feb. 20, 2012)


Additional Shipping Addresses – add $7.95 each


ORDER SUBTOTAL WISCONSIN ORDERS – Add 5% sales tax plus applicable sales tax for your county


Add CAT #54500 Gift Certificate Purchases (from reverse side)


Deduct Edmunds' credits (if any) ORDER TOTAL


QUANTITY Expiration Date


NOTE: Credit cards will be charged when order is placed. ITEM #


NAME OF VARIETY


Randolph WI 53956 2012 ORDER FORM FOR OFFICE USE ONLY


Special Extended Phone Order Hours From January 15 - May 15:


Date..................Init .......... CK .................................... CA .................................... CR .................................... G ....................................... T ....................................... CID .................................. O# ....................................


PAYMENT METHOD: (PLEASE DO NOT SEND CASH)


PLEASE MAKE CORRECTIONS TO PRE-PRINTED ADDRESS ABOVE. IF THE ADDRESS IS NOT PRE-PRINTED, WRITE IN YOUR COMPLETE ADDRESS.


We request that all members of the same household order under one name. NOTE: A street address must be included so delivery carriers can locate you.


❑ Check box if a gift order. Complete gift form on the back. Daytime Phone ( Evening Phone (


) )


❑ Check box if you are interested in receiving our email newsletters and special offers.


E-MAIL ADDRESS (Order confirmation and shipping information will be sent by E-mail)


SHIP TO: NAME


(Use only if different from address shown above)


PHYSICAL ADDRESS Include street, road, fire no., etc. so our delivery carriers can locate you.


P.O. BOX (if applicable) CITY


PAGE # FREE SHIPPING on orders of $100.00 or more received by February 20, 2012. Free shipping applies to standard shipping methods only (see chart below). Entire order must be shipped to one address. PRICE


STATE


ZIP


IMPORTANT – VERIFY YOUR SHIPPING ADDRESS! Be sure to include a complete physical address (street, road, fire number, etc.). Postal and delivery services will not forward. We can only guarantee delivery to addresses we are given.


REQUESTS FOR SPECIAL SHIP DATES: Special ship date requests require an extra $15 handling fee. No special ship dates are accepted for de- livery before February 1 or after May 1. We can only ship items that are in stock on the requested ship date.


LEAVING ON A TRIP? Please make arrangements for care of your package if it arrives while you are gone. We cannot be responsible for orders that are not properly cared for once they are received.


SHIPMENT NOTIFICATION: We will notify you when your order is shipped and will also provide tracking information if you provide us with your E-mail address in space above.


SUBSTITUTION SERVICE If we run out of an item, we often can provide a similar variety of equal or greater value. If you do NOT want a substitute, please check the box below.


❑ NO SUBSTITUTIONS


YOUR PRIVACY IS IMPORTANT TO US We occasionally make our mailing list available to carefully screened compa- nies whose products or services may be of interest to you. If you do not want your name shared, please check the box below.


❑ DO NOT SHARE MY NAME


CHECK ACCEPTANCE POLICY If you pay by check and your check is returned to us, it will be re-presented electronically and your account will be debited for the amount of the check plus a fee of $35.


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