Plant Replacement Form

Use this printable form to order replacements for any plants that do not survive up to (1) year of receipt of your order. YOU MUST INCLUDE the original shipping label from your purchase and your check, money order, or credit card billing information for the shipping charges as shown below. Send the documents to the address below.

Orders with personal checks will be held for up to 10 days for the check to clear. Please Make Checks Payable to: Pete or Amy Frank dba Northern Trading Co

Mail to:

Replacements
PO Box 43
Amberg, WI 54102

cs@northerntradingco.com

Item Number	Item Description	Planting Date	Original Qty	Replace Qty










			Plant Qty
Shipping Cost = $3.98 for the 1st item and $1.00 for each item there after. (NOT CHARGED IF WITHIN (7) DAYS OF DELIVERY)			1st Shipping Cost	3.98
WE DO NOT SHIP OUTSIDE OF THE LOWER (48) UNITED STATES			Add $1.00 X EA
There is NO SALES TAX!			Total Shipping Cost

Please fill out the following information. Be sure to include your email address in case we have a question about your order! Please note: If this was a gift that was sent to an address other than your own, you must also include your own name and the credit card billing address below to make sure your credit card can be approved! Just leave the credit card spaces blank if you are paying by check or money order.

Credit card type:	□ VISA □ MASTERCARD □ DISCOVER □ AMEX
Credit card number:	__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Expiration date:	___ ___ / ___ ___ CVV2/CID ______ (3 digit code from the back of your card)
YOUR SIGNATURE:
Purchaser's information:	NAME:
	ADDRESS:
	CITY:
	STATE, ZIP:
	PURCHASER'S E-MAIL:
	PURCHASER'S PHONE:

Please fill out shipping information below, if different from purchaser's information above.

SHIP-TO: NAME
ADDRESS
CITY
STATE and ZIP

□ Check here if this was a gift. We will send the receipt to you at "Purchaser's address" instead of putting it in the box! Message for gift tag: __________________________________________________________

Thank you for your order! Questions? E-mail cs@northerntradingco.com