R.H. SHUMWAY
334 W. STROUD STREET, STE. 1 RANDOLPH, WI 53956-1341
NAME
ADDRESS CITY
STATE _______ZIP
Pamyment Methods (PLEASE DO NOT SEND CASH) ❑ Check or money order
❑ VISA
❑ MASTERCARD Credit Card No.
❑ Gift Certificate ❑ DISCOVER
❑ AMERICAN EXPRESS
DAYTIME TELEPHONE (In case we have questions) ( ) ______________________________
EMAIL ADDRESS ___________________________________________________ Signature of card holder
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SHIPPING, PACKING & HANDLING CHART
If the dollar value of your order is:
Add:
Up to $35.00 . . . . . . . . . . . . . . $6.00 $35.01 to $50.00 . . . . . . . . .. . . .$7.00 $50.01 to $75.00 . . . . . . . . . . . . $9.00 $75.01 to $100.00 . . . . . . . . . . $11.00 $100.01 to $150.00 . . . . . . . . . $15.00 $150.01 to $200.00 . . . . . . . . . $17.00 Over $200.01 . . . . . . . . . . . . . $19.00
Transit time: allow 5-14 working days.
For Customer Service, call between 8:00 AM and 4:30 PM Central Standard Time.
SHUMWAY’S GUARANTEE
For our full guarantee, including all terms and conditions, see Page 28.
AMOUNT THIS PAGE Amount on Separate Sheet
Add Shipping, Packing & Handling Charge from Chart at left.
SUBTOTAL
Wisconsin orders add 5% sales tax, plus applicable sales tax for your county.
Add $15.00 Priority Charge if shipping to AK or HI
Additional Transportation Charges if Applicable
Add Shumway Gift Certificate Purchases (any amount) Catalog #54500
TOTAL AMOUNT Check or Money Order Enclosed (Please do NOT send cash or stamps)
Satisfaction Guaranteed! Thank You For Your Order! Item No.
SIZE CODE
QUANTITY Expiration Date Credit cards will be charged when order is placed.
PLEASE MAKE CORRECTIONS TO THE PREPRINTED NAME OR ADDRESS ABOVE. IF THERE IS NO NAME AND ADDRESS SHOWN PLEASE WRITE IT IN AT LEFT.
NAME/DESCRIPTION OF ITEM PAGE NO. PRICE Dollars Cents
We can give you better service if all members of your household order under the same name.
IMPORTANT:
IMPORTANT NOTICE!! Check Acceptance Policy:
If you pay by check and your check is returned to us, it will be re-pre- sented electronically and your ac- count will be debited for the amount of the check plus a fee of $35.
❑ Substitution Service. If we run out of an item, we can substitute a similar variety of equal or greater value. If you do not want a substi- tute, please check box.
❑ Our Mailing List. We occasion- ally make our mailing list available to carefully screened companies we think may be of interest to you. If you prefer we do not include your name, please check box.
If you wish to have a specific ship date ... Special ship date requests require an extra $15 handling fee. No special ship dates are accepted before February 1 or after May 1 and can only apply to in-stock items. Please add $15 to the last line of your order, along with ship date.
SHIPPING RESTRICTIONS: AK, AZ, HI, CA – No shipments of bulbs or live plants. AK and HI – Seeds only. CO – No plums. ID, WA – No currants, gooseber- ries, grapes, onion plants, onion sets, shallots. OR – No grapes, potatoes, nut trees. AZ, CA, CO, DE, ME, MA, MT, NJ, NM, OH, WA, WV – No Gooseber- ries, Jostaberries, Currants. PUERTO RICO and CANADA – No shipments of any kind.
IN A HURRY? Phone or fax your order using a credit card.
Toll-free Phone 1-800-342-9461 Toll-Free Fax 1-888-437-2733
www.rhshumway.com
SHIP TO: (Use space below ONLY if different from address shown above right)
FOR OFFICE USE ONLY Date__________Init_____
CK___________________ CA___________________ CR___________________ G____________________ T____________________ CID__________________ O#___________________
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1/11/12 8:10 AM
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