Orderform.Pdf
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2021 SUMMER & FALL TO USE THIS ORDER FORM Send this page with all orders. Fill in all required information. Fill in customer info at top of every page. If faxing - total pages sent Fax to: 1-800-863-7814. CONTENTS CUSTOMER INFORMATION Annuals 1 Herbs 9 Foliage 9 Customer Ferns 10 Succulents 10 Address Perennials 11 City State/Province Zip/Postal Code Effective for shipments between July 1, 2021 Contact & October 31, 2021. Phone # METHOD OF PAYMENT For details, see Terms & Conditions of Sale. 1. Prepayment 2. Charge on Jolly Farmer account (if previously approved) 3. ACH (replaces draft check) 4. Visa MasterCard Give us a call with American Express your card number. Discover (US only) 5. E-Transfer - CANADA ONLY (Send to: [email protected]) CALENDULa – FLOWERING KALE Customer Name Zip/Postal ☑ Mark desired size Fill in desired shipdates Trays Strips ▼ Tag Code Specie Variety 512 288 144 26 51 Qty Annuals 1165 Calendula , Costa Mix 512 288 144 n/a n/a 1800 Dianthus , Coronet Mix 512 288 144 n/a n/a 1805 Dianthus , Coronet Strawberry 512 288 144 n/a n/a 1815 Dianthus , Diana Mix Formula 512 288 144 n/a n/a 1820 Dianthus , Diana Mix Lavendina 512 288 144 n/a n/a 1825 Dianthus , Diana Mix Picotee 512 288 144 n/a n/a 1830 Dianthus , Ideal Select Mix 512 288 144 n/a n/a 1840 Dianthus , Ideal Select Red 512 288 144 n/a n/a 1845 Dianthus , Ideal Select Rose 512 288 144 n/a n/a 1850 Dianthus , Ideal Select Violet 512 288 144 n/a n/a 1852 Dianthus , Ideal Select White 512 288 144 n/a n/a 1855 Dianthus , Ideal Select Whitefire 512 288 144 n/a n/a 1860 Dianthus , Super Parfait Raspberry 512 288 144 n/a n/a 1865 Dianthus , Super Parfait Rd Pprmnt 512 288 144 n/a n/a 1870 Dianthus , Super Parfait Strwberry 512 288 144 n/a n/a 1875 Dianthus , Telstar Crimson 512 288 144 n/a n/a 1880 Dianthus , Telstar Mix 512 288 144 n/a n/a 1885 Dianthus , Venti Parfait Blbry Eye 512 288 144 n/a n/a 1890 Dianthus , Venti Parfait Crims Eye 512 288 144 n/a n/a 1900 Dianthus interspec , Jolt Cherry n/a 288 144 n/a n/a 1905 Dianthus interspec , Jolt Pink n/a 288 144 n/a n/a 1910 Dianthus interspec , Jolt Pink Magic n/a 288 144 n/a n/a 1935 Dracaena , Indivisa (spikes) n/a 288 144 n/a n/a 1945 Dusty Miller, New Look 512 288 144 n/a n/a 1955 Dusty Miller, Silver Dust 512 288 144 n/a n/a 2010 Flowering Cabbage , Osaka IQ Red 512 288 144 n/a n/a 2000 Flowering Cabbage , Osaka Mix 512 288 144 n/a n/a 2005 Flowering Cabbage , Osaka Pink 512 288 144 n/a n/a 2015 Flowering Cabbage , Osaka White 512 288 144 n/a n/a 2020 Flowering Cabbage , Pigeon Purple 512 288 144 n/a n/a 2025 Flowering Cabbage , Pigeon Red 512 288 144 n/a n/a 2030 Flowering Cabbage , Pigeon Victoria 512 288 144 n/a n/a 2035 Flowering Cabbage , Pigeon White 512 288 144 n/a n/a 2040 Flowering Cabbage , Songbird Mix 512 288 144 n/a n/a 2045 Flowering Cabbage , Songbird Pink 512 288 144 n/a n/a 2050 Flowering Cabbage , Songbird Red 512 288 144 n/a n/a 2065 Flowering Cabbage , Songbird White 512 288 144 n/a n/a 2100 Flowering Kale , Bor Scarlet 512 288 144 n/a n/a 2105 Flowering Kale , Bor Winter 512 288 144 n/a n/a 2110 Flowering Kale , Coral Prince White 512 288 144 n/a n/a 1. 800.695.8300 | 800.863.7814 FLOWERING KAle – PANSY Customer Name Zip/Postal ☑ Mark desired size Fill in desired shipdates Trays Strips ▼ Tag Code Specie Variety 512 288 144 26 51 Qty 2115 Flowering Kale , Coral Queen Red 512 288 144 n/a n/a 2120 Flowering Kale , Dinosaur 512 288 144 n/a n/a 2125 Flowering Kale , Glamour Red 512 288 144 n/a n/a 2130 Flowering Kale , Kamome Pink 512 288 144 n/a n/a 2135 Flowering Kale , Kamome Red 512 288 144 n/a n/a 2140 Flowering Kale , Kamome White 512 288 144 n/a n/a 2145 Flowering Kale , Nagoya Mix 512 288 144 n/a n/a 2150 Flowering Kale , Nagoya Red 512 288 144 n/a n/a 2155 Flowering Kale , Nagoya Rose 512 288 144 n/a n/a 2160 Flowering Kale , Nagoya White 512 288 144 n/a n/a 2165 Flowering Kale , Peacock Red 512 288 144 n/a n/a 2170 Flowering Kale , Peacock White 512 288 144 n/a n/a 2175 Flowering Kale , Red Russian 512 288 144 n/a n/a 2180 Flowering Kale , Yokohama Mix 512 288 144 n/a n/a 2185 Flowering Kale , Yokohama Red 512 288 144 n/a n/a 2190 Flowering Kale , Yokohama White 512 288 144 n/a n/a 3420 Marigold - African , Discovery Orange 512 288 144 n/a n/a 3425 Marigold - African , Discovery Yellow 512 288 144 n/a n/a 3575 Marigold - French , Durango Mix 512 288 144 n/a n/a 3600 Marigold - French , Fireball 512 288 144 n/a n/a 3820 Orn. Pepper, Chilly Chili n/a 288 144 n/a n/a 3900 Pansy, Blueberry Thrill 512 288 144 n/a n/a 3905 Pansy, Cats Mix 512 288 144 n/a n/a 3910 Pansy, Colossus Dp Blue Blotch 512 288 144 n/a n/a 3915 Pansy, Colossus Fire 512 288 144 n/a n/a 3920 Pansy, Colossus Lavendr Medley 512 288 144 n/a n/a 3925 Pansy, Colossus Lemon Shades 512 288 144 n/a n/a 3930 Pansy, Colossus Mix 512 288 144 n/a n/a 3935 Pansy, Colossus Mix Blotch 512 288 144 n/a n/a 3940 Pansy, Colossus Neon Violet 512 288 144 n/a n/a 3945 Pansy, Colossus Ocean 512 288 144 n/a n/a 3950 Pansy, Colossus Purple Bltch 512 288 144 n/a n/a 3955 Pansy, Colossus Red Blotch 512 288 144 n/a n/a 3960 Pansy, Colossus Rose Blotch 512 288 144 n/a n/a 3965 Pansy, Colossus Rose Medley 512 288 144 n/a n/a 3970 Pansy, Colossus Tricolor 512 288 144 n/a n/a 3975 Pansy, Colossus White 512 288 144 n/a n/a 3980 Pansy, Colossus White Blotch 512 288 144 n/a n/a 3985 Pansy, Colossus Wht w/Prp Wng 512 288 144 n/a n/a 3995 Pansy, Colossus Yellow Blotch 512 288 144 n/a n/a 4005 Pansy, Crown Azure 512 288 144 n/a n/a 1. 800.695.8300 | 800.863.7814 jollyfarmer.com | [email protected] 2. PANSY – PANSY Customer Name Zip/Postal ☑ Mark desired size Fill in desired shipdates Trays Strips ▼ Tag Code Specie Variety 512 288 144 26 51 Qty 4010 Pansy, Crown Blue 512 288 144 n/a n/a 4015 Pansy, Crown Golden 512 288 144 n/a n/a 4025 Pansy, Crown Purple 512 288 144 n/a n/a 4040 Pansy, Crown Yellow 512 288 144 n/a n/a 4045 Pansy, Delta Fire 512 288 144 n/a n/a 4060 Pansy, Delta Mix Berry Tart 512 288 144 n/a n/a 4065 Pansy, Delta Mix Blaze 512 288 144 n/a n/a 4070 Pansy, Delta Mix Citrus 512 288 144 n/a n/a 4085 Pansy, Delta Mix Fruit Salad 512 288 144 n/a n/a 4095 Pansy, Delta Mix Monet 512 288 144 n/a n/a 4105 Pansy, Delta Mix Pure Colors 512 288 144 n/a n/a 4115 Pansy, Delta Mix Tricolor 512 288 144 n/a n/a 4120 Pansy, Delta Mix Watercolors 512 288 144 n/a n/a 4125 Pansy, Delta Mix Wine & Cheese 512 288 144 n/a n/a 4130 Pansy, Delta Pink Shades 512 288 144 n/a n/a 4135 Pansy, Delta Pure Red 512 288 144 n/a n/a 4140 Pansy, Delta Pure Rose 512 288 144 n/a n/a 4160 Pansy, DeltaPrm Beaconsfield 512 288 144 n/a n/a 4165 Pansy, DeltaPrm Blue Bltch 512 288 144 n/a n/a 4170 Pansy, DeltaPrm Deep Blue 512 288 144 n/a n/a 4175 Pansy, DeltaPrm Gold w/Bltch 512 288 144 n/a n/a 4180 Pansy, DeltaPrm Lav Blue Shds 512 288 144 n/a n/a 4185 Pansy, DeltaPrm Marina 512 288 144 n/a n/a 4190 Pansy, DeltaPrm Mix 512 288 144 n/a n/a 4195 Pansy, DeltaPrm Mix Aple Cider 512 288 144 n/a n/a 4200 Pansy, DeltaPrm Mix Blotch 512 288 144 n/a n/a 4205 Pansy, DeltaPrm Mix Btrd Popcr 512 288 144 n/a n/a 4210 Pansy, DeltaPrm Mix Cool Wtr 512 288 144 n/a n/a 4215 Pansy, DeltaPrm Neon Violet 512 288 144 n/a n/a 4220 Pansy, DeltaPrm Persian Mdly 512 288 144 n/a n/a 4230 Pansy, DeltaPrm Pure Gldn Yel 512 288 144 n/a n/a 4235 Pansy, DeltaPrm Pure Lemon 512 288 144 n/a n/a 4240 Pansy, DeltaPrm Pure Lt Blue 512 288 144 n/a n/a 4245 Pansy, DeltaPrm Pure Orange 512 288 144 n/a n/a 4250 Pansy, DeltaPrm Pure Primrose 512 288 144 n/a n/a 4255 Pansy, DeltaPrm Pure Violet 512 288 144 n/a n/a 4260 Pansy, DeltaPrm Pure White 512 288 144 n/a n/a 4265 Pansy, DeltaPrm Pure Yellow 512 288 144 n/a n/a 4270 Pansy, DeltaPrm Red Blotch 512 288 144 n/a n/a 4275 Pansy, DeltaPrm Rose Blotch 512 288 144 n/a n/a 4285 Pansy, DeltaPrm True Blue 512 288 144 n/a n/a 3.