Pacific Rim Native Plant Nursery    

 www.hillkeep.ca
GIFT CERTIFICATE ORDER FORM      Plants Index    Bulbs Index
Please copy this form (use your browser's Print button) and send it to us by fax or post. You may also order by email, but for  security,  please send credit-card numbers only by fax or post.  
YOUR Name
Pacific Rim Native Plant Nursery
YOUR Mailing Address
Where the garden meets the wild
PO Box 413
Chilliwack, BC V2P 6J7 
Canada 
plants@hillkeep.ca 
FAX (604) 792 1891
FAX                      DAY Phone                         Email
www.hillkeep.ca 

I want to send gift certificates to the following people:

1.  Name of RECIPIENT
2.  Name of RECIPIENT
Mailing Address
Mailing Address
FAX                                            Email
FAX                                            Email
AMOUNT $Canadian                    
AMOUNT $Canadian    
SPECIAL INSTRUCTIONS   SPECIAL INSTRUCTIONS  

Need more space? Please use another sheet of paper. The main thing is to make your order clear.

TOTAL,  GIFT CERTIFICATES TO BE SENT IN $CANADIAN  

We accept cheques on a Canadian bank, checks on an American bank, international drafts in US dollars, Visa and Mastercard.  

 

CREDIT CARD USERS please check one: o VISA  o MC. Your CARD #  ___________________________________________  EXPIRY DATE ____________

NAME AS ON CARD ______________________________________________________ SIGNATURE_____________________________________________