Holly Grove Nursery Online Order Form

Your name:

Street address:

Street address:

City: State: ZIP:

Method of payment

American Express

MasterCharge

VISA

Credit card number:

Date of expiration:

Quantity Name of plant Size

Quantity Name of plant Size

Quantity Name of plant Size

Quantity Name of plant Size

Quantity Name of plant Size

Quantity Name of plant Size

Shipping and handling costs will be added automatically