Tranquil Lake Nursery

Gifts and Gift Certificates

Print Order Form:   and Fax or Mail with your payment to:

Tranquil Lake Nursery   45 River Street    Rehoboth, MA 02769 

Fax Orders:   508-252-4740       Telephone Orders:  800-353-4344   

Send Gift Certificate To:

Name______________________________________________________________________________________

Address                                                                                                                                                                       

City                                                                               State                                         Zip                                         

Phone Number                                                                                                                                                             

From:  Name _______________________________________________________________________________

Address ___________________________________________________________________________________

City _____________________________________ State ___________________  Zip _____________________

Phone Number ____________________________________     E-mail   _________________________________

Amount of Gift Certificate:  ________________________

Gift Message:   ______________________________________________________________________________

__________________________________________________________________________________________

GIFT ORDER FOR:

Name  __________________________________________________________________________________

Address                                                                                                                                                                      

City                                                                    State                                                   Zip ___________________

Phone Number _____________________________________________________________________________

UNITED PARCEL DELIVERY INSTRUCTIONS: Rural residents and P. O. Box holders please give delivery instructions.

Shipping   $15.00  per address      Add $10 for Optional Air Fare           Total  Gift Order _________________________

Gift Message ___________________________________________________________________________

______________________________________________________________________________________

Circle the appropriate payment method:

• Check or Money order   (Payable to: Tranquil Lake Nursery)
  
• Credit Card:               Visa                   Master Card                Discover
  
• Credit Card Number __________________________

• Expiration Date___________       Signature (required)___________________________________
  

Tranquil Lake Nursery 45 River Street Rehoboth, Massachusetts 02769-1395 Phone: 508-252-4002     Fax:  508-252-4740 www-tranquil-lake.com    or send an e-mail to tranquil-lake@earthlink.net