Order Form / Daisy Farms

To order via phone, call: 269-782-6321
To order via fax, call: 269-782-7131
To order via mail, write to:
Daisy Farms || 28355 M-152 || Dowagiac, MI 49047

note:

Use your tab key to move from item to item on the order form. Don't use the "Enter" key. 
When order form is complete, click on 'Submit form'  once to send order.

Name
E-mail
Address
City
State Zip
Daytime Phone#
Fax
Evening Phone#
Date of Order
Will pick up at nursery
Ship Plants on
or ABOUT date:

We will ship by UPS unless otherwise specified,
UPS will NOT deliver to your Post Office Box,
so please make sure to list a shipping address.

Quantity Type of Plant Price Each Total Price
1.
2.
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UPS Shipping Charges (MINIMUM Shipping Charge $10.00) Shipping prices apply only to lower 48 states. USPS Priority Mail rates apply on shipments to Alaska & Hawaii.

Item Name                      Add to Order                         
Asparagus
Blueberries
25%
25%
Horseradish 15%
Raspberries 15%
Rhubarb 15%
Strawberries 15%

 

Terms of Payment

>
VISA / Master Card (Figure the total) -- Sub-Total
Card Number 15% UPS
Card Expires 25% UPS Asparagus,
On the back of your credit card, there are 7 numbers in the signature strip. Please enter the last 3 numbers here.  

Order must be paid in full before shipment date.

TOTAL


We appreciate knowing where our advertising dollars are doing the most good.
Please take a moment and let us know how you heard about Daisy Farms. 

Thank You!

To prevent delays in shipping your order, please double-check all information entered on the order form, including your credit card number, before clicking once on the 'Submit Form' button.

We will send you a confirming email when you order is received.