JACK CARPENTER/LILY FARM.COM
LILYFARM.COM
Mark Carpenter
10056 HWY 7 W
Center, Texas 75935
Phone 936 598-5262
Email
lilyfarm@hughes.net
Please fill in this form, then print it, and mail it to the address above along with payment.
NAME
ADDRESS
CITY/STATE/ZIP
TELEPHONE
EMAIL
QUANT
NAME
PRICE
SUBT
TOTAL
Subtotal
Tx Residents 6.25% Tax
S&H from Schedule
Please Remit Total
Texas residents add 6.25% Sales Tax
2nd Day UPS BASIC SHIPPING CHARGE
$20.00 – ADD $1.00 PER PLANT
NEXT DAY – ADD $22.00 TO THE ABOVE