Print this form and return by mail.

Living Stones Nursery Order Form
2936 N. Stone Ave - Tucson, Arizona 85705 - (520) 628-8773 (phone & fax)

Ordered By
Name:_______________________________________
Street:_______________________________________
City:_____________________ St:____ Zip:__________
Phone:_______________________________________
email:________________________________________
Check box to receive occasional special email offers

Ship To:
Fill in only if different from "Ordered By."

Name:_______________________________________
Street:_______________________________________
City _____________________St:____ Zip:__________
Phone:_______________________________________

Select Payment Type:

CheckMastercard
Money OrderVisa

(

 

Account Information:

Card #:___________________________Exp:______ 
V-code _____ (the 3-digit number in the signature box on the back of the card)

Signature_______________________________
Billing address___________________________
______________________________________

  quantity name of plant unit price amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
       

Please use form below for all non-plant items such as books & 
supplies. Include any mailing charges.

qty. item amount
   
   
   
   

For DELAYED SHIPPING give date after which order may be shipped: ____________

Amount for plants this side:

Amount for plants from other side:

Total plant order (min. $25.00):

Shipping & Handling U.S.A.: 15%
(on plants only) Minimum $7.50

Books & Supplies

Sales Tax (AZ residents)
8.1% of lines c & e

TOTAL ENCLOSED (add lines c,d,e&f)
Use Back of form to list additional plants and substitutes
!

a)__________

b)__________

c)__________


d)__________

e)__________

f)__________