HerbFresh.Com

Herbs and Scented Geraniums
FAX and Mail Order Form

To order by mail or FAX:
  1. Complete the mailing section and enter the plant information for your order. If you are paying by credit card, complete the credit card section. Print the form on your printer and mail it to us along with your payment (check or money order OK) or

  2. Complete the mailing section and the plant information for your order and print this form with credit card section completed and fax it to (760) 451-1189. (* Required information)

         *Name:        
         *Address:     
         *City:        
         *State:         *ZIP Code: 
         *Phone:       
          E-mail Addr: 
          Fax:

I would like to order the following:

Plant
Code		 Plant Name Quantity Total
Sub Total
CA Tax
Please include 7.5% for non-plant
items shipped within CA.
Shipping*
Total

Shipping Charges
Plants OrderedShipping
6 plants$8.55
7-24 plantsadd $.70 each
Over 24 plantscall for amount
or e-mail

To better serve you, please select an option below in the event that the plant(s) you order are not currently available.
Substitute plant(s) at our discretion.
Issue refund or credit memo.

Credit Card Information

Click on a card type
Name On Card Card Number

Expiration Date
Card Holder's ZIP Code

Have questions? Email us and we will reply as soon as we can.

HerbFresh.Com makes no representations nor gives advice on the use and benefit of medicinal herbs. Consult a qualified practitioner in your area for professional advise.
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