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GROWERS & PACKERS OF ENGLISH HOLLY & FOREST GREENS
SINCE 1964

 
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 Updated 1 November 2016
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 © 2006-2016

 

 
 

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. Get Acrobat Reader
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:________________________________________