Kuk's Forest Nursery
10174 Barr Road
Breckville, Oh 44141-3302
kuksforest@sbcglobal.net

 FREE SHIPPING


Please fill in blanks and then print this form out
We accept checks, money orders, and charge cards
Please make checks payable to Kuk's Forest Nursery

Name      Shipping Date after 5/15/12  
Address   Date Shipped  
E-Mail Address   Invoice Number  
City         Phone Number  
State/Country   UPS or Postal  
Zip          Work Phone  

Please fill in and print out this form and send it with payment to the address above.
Thanks

Office Use
Item#
CULTIVAR
QUANTITY
PRICE
TOTAL
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 
Office  Item#    Quantity  Price  Total 

Minimum Order $30
May we substitute plants of equal or greater value. Yes___ No___
I would like my plants rossized Yes___ No___
I would like the foliage trimmed back Yes___ No___
FREE SHIPPING


Office Use
Item#
CULTIVAR SUB
Order
Office  Item#    SubTotal 
Office  Item#    Shipping/Hand 
Office  Item#    Ohio Res. Tax 8% 
Office  Item#    Office use 
Office  Item#    Total% 


Numbers: 
Result: