Christmas Holly from BeaverCreek Farms: Order Form

GROWERS & PACKERS OF ENGLISH HOLLY & FOREST GREENS
SINCE 1964

Updated 16th October 2022
Contact Webmaster
© 2006-2022

Mail Order Form and Gift List
(Or, instead, if you prefer to shop and order
online visit our online store here.)

For ease of mail ordering, download a PDF version of this page, print it and return by mail or fax.

If you cannot view the PDF file, you can download Adobe Reader here.

*BeaverCreek Farms*	*Tel.: 1-503-632-3169*
*P.O. Box 2*
*Beavercreek, OR, 97004*	*E-mail: holly@beavercreekfarms.com*

Gift List	ITEM CODE	PRICE
Name
Street Address
City, State, Zip	Desired Arrival Date (if other than Dec. 15th)
Greeting: ____ None ____ Enclosed

Name
Street Address
City, State, Zip		Desired Arrival Date (if other than Dec. 15th)
Greeting: ____ None ____ Enclosed

Name
Street Address
City, State, Zip		Desired Arrival Date (if other than Dec. 15th)
Greeting: ____ None ____ Enclosed

Ordered By	ITEM CODE	PRICE
Name
Street Address
City, State, Zip	Desired Arrival Date (if other than Dec. 15th)
Telephone or e-mail (optional) Special Instructions:

Prices include handling and shipping!				Total $_________
			(10% discount if over $299)
Method of Payment:				Discount - $‗‗‗‗‗‗‗‗‗
Check
Visa	Mastercard	American Express	Discover	Total Due $_________

Card Number:______________________________________ Expiration Date:___________________

Card Verification Code (CVC): ________ AND Billing Zip Code:_____________________

OR Phone number:_____________________
* Please enter the verification code from the back of your card, or if you prefer, you can just provide your phone number and we will call for that information.

Signature:________________________________________