Miniature Grapevines of California Order Form

Important: When you have filled out this form to your satisfaction, please click on the SEND button at the bottom of the page to submit it.

Product Information

Single Vine - $79.95 each

Double Vine Stock - $149.95 each

- Subtotal
- Add 7.5% sales tax in California
- Total

Ship To Address (If different than Billing Address):

- Stock number/s to be sent
 

- Name
- Street Address (no PO boxes, please!)
- City
- State
- ZIP/Postal Code
- Daytime phone (very important!)

Bill To Address and/or Ship To Address if Same as Recipient:
 

- Street Address (no PO boxes, please!)
- City
- State
- ZIP/Postal Code
- Daytime Phone (very important!)

Payment Information:

Visa Mastercard Discover

- Name on Card
- Expiration Date
- Card Number

- (select to submit form) - (select to clear form) 

Thank you for your order, we appreciate it.

Credit cards are not billed until plants have been shipped. All credit card information remains private and will not be distributed. You may also order by sending check or money order to:

D.J. Moock Internet Sales - P.O. Box 1549 - Windsor, CA 95492
Email: dutch@sonic.net

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