Gift Shop Order Form

To place your order print out this form, complete it, and return it

with your payment to: Luther Burbank Home & Gardens,

100 Santa Rosa Ave., Rm. 10, Santa Rosa, CA 95404

Phone:707-524-5445 Fax:707-524-5827 Email: burbankhome@lutherburbank.org

QTY Total

Tee Shirts
Daisy Tee $20.95 Size
EDA Tee #1 $23.95 Size
Plum/Prune Tee $23.95
(XXL $26.95)
Size
Plumcot Tee – SALE $17.56 Size
Quote Tee $14.95 Size
Sprout Shirt $14.50 Size
Tool Tee $22.95
(XXL 25.95)
Size
Apparel & Cloth
Apron, Denim $22.50
 Bag  $3.95
Cap $14.95
Tote SALE $14.80
Towel $10.50 (specify choices)
Books & Booklets
Cookbook $16.95
Fifty Famous $3.50
Luther Burbank Biography $21.00
Quackenbush Book $10.00
Yesterday & Today Book $10.95
Journal $17.95
Prints, Posters & Cards
1925 Print $12.50
Cherry Notes, box of 12 $13.50
Fruit Prints $6.50 ea (specify choices)
LB Picture $8.50 ea
Matted Birds $8.50 ea (specify mat color)
Matted Oaks $7.00
Poppy Poster SALE $16.00
Repro Vintage Cards $5.95
Seed Notes, pack of 4 $7.00
Seed Poster $12.50
All Things Daisy
Silver Pin $39.50
Daisy Tee $20.95 Size
Tote SALE $14.80
MERCHANDISE CHARGES SUBTOTAL
CA deliveries add 8.75% sales tax
Shipping/handling, each delivery:
$0 to $20.00 $7.00
$20.01 to $50.00 $11.00
$50.01 to $100.00 $15.00
over $100.01 15% of subtotal
TOTAL

Shipped to U.S. addresses by Priority Mail within 4-7 days of receipt & payment.

SOLD TO: (print name on credit card) SHIP TO: (If different than “Sold To”)
Name Name
Address Address
City, State, Zip City, State, Zip

PAYMENT INFORMATION: Please make check or money order payable to LBH&G. (Sorry, no C.O.D. or purchase orders)

Visa/Mastercard
Number Exp.date
Signature of card holder
Your Phone &/or Fax Number
Email Address

Note: ALL SALES ARE FINAL, except for:

• Defective merchandise (we will make an exchange for like merchandise); or
• Wrong size (we will make a straight exchange for the correct size).