order form

We sell strictly to professionals involved in the Green Industry Trade. To verify that you are qualified to purchase stock at the wholesale level you must provide any or all of the following: Nursery Dealers License, Business Card, Company Check and/or a Tax Exemption Certificate. For the convenience of our customers, you may use this form to order product from Lake County Nursery. All orders are C.O.D. unless credit is established.
Are You a New Customer?
Take time and contact us online, or call us toll free at 800-522-5253 so that we may set up an account for you.


Company:

Address:

City:

State:

 Zip or Postal Code

Telephone:

Fax:

PO Number:

Ordered By:

E-Mail Address:
(required)

Date Wanted:

Ship to:
If different
from above

Shipping
Method:

Confirm By:


Order Qty

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Additional Comments :

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