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Specializing in Choice Perennials P O Box 9
Randolph WI 53956 2012 ORDER FORM
ORDER TOLL FREE 1-800-374-5035 M-F 8:00 a.m. to 4:30 p.m. CST
Extended Hours January 15 – May 15: M-F 7:30 a.m. to 5:30 p.m. CST Sat. 8:00 a.m. to 3:00 p.m. CST
FAX TOLL FREE 1-800-374-6120
Available 24 hours a day, 7 days a week ONLINE
www.rootsrhizomes.com Place your order online anytime.
INQUIRY HOTLINE 1-800-546-4399 8:00 a.m. to 4:30 p.m. M-F CST
E-MAIL:
info@rootsrhizomes.com
PAYMENT METHOD: ❑ Check or money order
❑ VISA
❑ MASTERCARD Credit Card No.
Signature of card holder FOR OFFICE USE ONLY
Date..................Init........... CK..................................... CA..................................... CR..................................... G....................................... T........................................ CID.................................... O#.....................................
(PLEASE DO NOT SEND CASH) ❑ Gift Certifi cate
❑ DISCOVER ❑ AMERICAN EXPRESS
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 confi rmation and shipping information will be sent by E-mail)
SHIP TO: NAME
Expiration Date NOTE: Credit cards will be charged when order is placed.
ALL SHIPMENTS INCLUDE PLANTING INSTRUCTIONS AND HELPFUL TIPS ON CARE AND MAINTENANCE.
LINE# ITEM NUMBER QUANTITY
BONUS BONUS
1 2 3 4 5 6 7 8 9
10 11 12 13 14 15 16
Out of Room? Turn over for additional lines.
DELIVERY CHARGE CHART UP TO $50.00
$50.01 to $100.00 $100.01 to $150.00 $150.01 to $200.00 OVER $200.00
$6.95 $9.95
$14.95 $17.95 $19.95
*Allow 5 to 7 business days for transit time
EXTRA CHARGE FOR SHIPPING TO MORE THAN ONE ADDRESS: Add $5.00 for each additional shipping address.
SHIPPING RESTRICTIONS: We do not ship plants to Alaska, Hawaii, Canada or overseas.
TOTAL OF ABOVE AMOUNT FROM OTHER SIDE MERCHANDISE TOTAL
Packing and Insured Delivery Charges (chart at left) NOTE: Only $6.95 if merchandise total is over $100 and order is received before March 1, 2012
Additional Shipping Addresses – add $5.00 each
ORDER SUBTOTAL WISCONSIN ORDERS – Add 5% sales tax plus applicable sales tax for your county
#54500 Gift Certifi cate Order (from reverse side) Deduct Roots & Rhizomes credits (if any) ORDER TOTAL
NAME OF VARIETY BONUS All $35.00+ orders 5 FREE METAL PLANT MARKERS
All $75.00+ orders SURPRISE PERENNIAL + 5 FREE METAL PLANT MARKERS All $100.00+ orders
SHIPPING IS $6.95 IF MERCHANDISE TOTAL IS OVER $100.00 AND ORDER IS RECEIVED BEFORE MARCH 1, 2012
(Use only if different from address shown above)
PHYSICAL ADDRESS Include street, road, fi re no., etc. so our delivery carriers can locate you.
P.O. BOX (if applicable) CITY
PAGE # PRICE
STATE
ZIP
IMPORTANT – VERIFY YOUR SHIPPING ADDRESS!
Be sure to include a complete physical address (street, road, fi re number, etc.). Postal and delivery services will not forward. We can only guarantee deliv- ery 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. Please add $15 to the last merchandise line of your order, along with your 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.
❑ 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, check the box.
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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