JACK CARPENTER/LILY FARM.COM LILYFARM.COM
Jack Carpenter
7725 HWY 7 W
Center, Texas 75935
Phone 936 598-7556
Email jackcarpenter@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