NAME:
PHONE#:
ADDRESS:
CITY:
STATE:
ZIP CODE:
7150 Casey Parkway Prior Lake, MN 55372
Phone/fax: 952-447-4131
STATE TAX ID #:
If you ordering any flowers, please provide us with your State Tax Id # or we are required to charge sales tax
Name & Variety
(Ex: Pepper Red Knight)
Pick Up Date
Seed Source
Tray Size
QTY
EMAIL:
CLICK RESET TO CLEAR ORDER FORM
Special Order Details
IMPORTANT!!!!
YOU MUST CLICK THE SUBMIT BUTTON FOR
YOUR ORDER TO BE COMPLETED AND
TO RECIEVE CONFIRMATION
Please fill out a 2nd order form if you
need additional space.
GROWER #:
Notes
PLEASE FILL OUT THE FOLLOWING INFORMATION
CUSTOM GROWER ONLINE ORDER FORM
