PAGE 1
Wholesale Plants Order Form
Office use only
Order #___________________________
www.american-natives.com
Customer #________________________
Phone: 1-800-476-9453 | Fax: 608-296-2741
Ship Date_________________________
[email protected] | PO Box 306 Westfield, WI 53964
Date Received______________________
Sold To:
Ship To (if different than Sold To):
Business Name
Business Name
Contact
Contact
Mailing Address
Shipping Address
City
State
Phone
Zip
City
Fax
State
Phone
Email
Zip
Fax
REQUESTED DATE TO RECEIVE ORDER:
Method of Payment – We Do Not Accept Checks.
We accept credit/debit cards
r Visa r MasterCard r Discover r Am Express
Wisconsin or Illinois Resale
or Tax Exempt # __________________________________________
Name that appears on Card:
Card #
Exp.Date
A copy of certificate must be on file in our office
or Sale Tax will be applied.
CVV
Signature
For your protection & security we require the 3 digit CVV # from the back of your credit card to process your order.
Wholesale Minimum Order: 4 Trays
FREE Pot Tags Available with Wholesale Plant Order
List Wholesale Plants Here. Retail Plants & Seeds and No Mow Orders on Page 2.
Item #
Plant Name
Format
Line A – Totals for # of Trays, Prices & Placards
# of Trays
Price per Tray
#
Total Price
# of Placards
$
#
Line B – 18% Shipping & Handling (Line A x .15)
$
Line C – Cost of Placards – $3.50 each (Line A x 3.50)
$
Line D – Total wholesale plants – Lines A + B + C
$
Line E – Total from reverse side
$
Line F – ORDER SUBTOTAL
$
Line G – Sales Tax: 5% WI, 6% IL residents only. (Send us your resale certificate if applicable)
$
Line H – County & Stadium Tax (WI residents only)
$
TOTAL ORDER (lines F + G + H)
$
Retail plants & seeds and No Mow are on page 2 of this form...
FREE Pot Tags: r Yes r No
PAGE 2
No Mow Lawn Mix and Retail Plants & Seeds
Available at www.prairienursery.com
Phone: 1-800-476-9453 | Fax: 608-296-2741
[email protected] | PO Box 306 Westfield, WI 53964
No Mow Lawn Seed Mix (prairienursery.com)
Item #
Item
QTY (lbs)
#50091
No Mow Lawn Mix
$
#50092
No Mow Lawn Mix with Annual Rye for erosion control
$
Line I
Total No Mow Lawn Mix (Shipping is free in the U.S.)
$
SEEDS
Retail Plants & Seeds (prairienursery.com)
Item #
Price per lb
Item (also list possible substitutions)
QTY
Unit Price
Price
PLANTS
Total Price $
Unit Price
Line J – Retail Plant & Seed Totals
$
$
Line K – Shipping & handling – Retail Plants & Seeds (See Chart Below)
$
$
Total Price $
Line L – Total Retail SEEDS + Shipping & handling (Lines J + K)
$
Line M – Total Retail PLANTS + Shipping & handling (Lines J + K)
$
Line N – No Mow Lawn Mix Total (Line I)
$
Line O – Subtotal (Lines L + M + N)
$
Add the Line O total to Line E on the reverse side (page 1) of this form.
Shipping and Handling Rates
for Retail Plants & Seeds
– Call for shipping costs on Next Day or 2nd Day Air
– Please calculate plant and seed shipping separately.
– No Mow shipping & handling is free in the U.S. only.
– Call for rates on Canadian and International orders.
– Cancelled orders are subject to a re-stocking fee.
PLANT SHIPPING
SEED SHIPPING
Sorry we cannot ship plants to Alaska, Hawaii,
Canada or other international destinations.
ORDER TOTAL
U.S.
Canada, AK, HI
$0 – $100 $9.95
NA
$101 –$200
10% NA
ORDER TOTAL
U.S. SHIPPING RATE
$0 – $50
$9.95
$201 – $500
7%
25%
OVER $50
15%
$501 – $1000
5%
24%
$1001 –$5000
4%
23%
over $5000
3%
22%