U.S. WEBSITE - WINTER ORDER FORM
(approximately November 15th to April 15th)

(Shipping now by "EXPRESS MAIL" only)

To place an order from our web-site, complete this form in its entirety and click "submit" button at bottom of page.

ORDERED BY:

Name:
Address:
Address:
City:
State: Zip Code:

SHIP TO ANOTHER ADDRESS: (Fill out only if different from above)

Name:
Address:
Address:
City:
State: Zip Code:

ADDITIONAL INFORMATION:

Have you ordered from us before? YES NO

I understand that my order will be shipped by "Express Mail" YES

Daytime Phone: (Please include area code)
Work Phone: (Please include area code)
E-mail address:* (*Need this to acknowledge your order!)
If a resident of NY State, please enter your county:

PAYMENT INFORMATION: (Credit Cards are charged on the day we ship your order!)

Account Number: (Visa or Mastercard only)
Expiration Date:
Security Code: (3 numbers found on back of credit card)
Cardholder Name:

LIST OF PLANTS / LEAVES: (Minimun order is 3 plants or 10 leaf packages)

Please indicate for each item ordered
1) Quantity desired
2) Plants - or - Leaves
3) Variety name
4) Price
(examples:)

1 Plant - Irish Flirt - $6.00

(or)

1 Leaf - Sheer Romance - $2.00



If we are out of varieties you have selected, should we:

Not substitute
Substitute with leaves, if plants are unavailable
Substitute with Lyon's choice
Substitute with varieties I have listed below:

Note: if no indication is made, we will only send what's available on the day we pick your order!

SPECIAL INSTRUCTIONS / COMMENTS:

PLEASE NOTE:

A signature is required to accept delivery! Please give us an address where you (or another person) will be able to sign for the package. Otherwise, you may need to pick up the package at your local post office. You may waive the signature requirement, but we will not guarantee safety of plants when this is done! It is important that LIVE PLANTS are not left outside in the elements in cold climates.

When you have completed this form, click the "Submit" button once!

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