Midway Water Gardens Order Form

Midway Water Gardens
Order Form

To place an order from Midway Water Gardens simply call
us or print this order form and send it to the address below

Midway Water Gardens
1156 Santa Anna Rd
Columbus TX 78934

979-732-6129

Item Description

Quanity

Price Each

Total

______________________________

________

______________

______________________________

________

______________

______________________________

________

______________

______________________________

________

______________

Shipping and Handling:
Up to $25 $6.00
$25.01-50.00 $8.00
$50.01-70.00 $9.50
$70 and up $10.50
This shipping is figured for plants
and small pond supplies. For large
items or large quantity orders call
for shiping charges (979)732-6129

Subtotal	________________
Shipping & Handling	________________
TX. Res Add 6.75% sales tax	________________
Total	________________

Payment Method:

___ Check ___ Money Order

If Payment by check is chosen we will hold your order for two weeks while it clears the bank.
If Payment by money order is chosen your order will ship the next business day upon receiving it.

Ship To Address

Name__________________________________________________________________________

Address________________________________________________________________________

City__________________________________ State_____________ Zip______________

Phone(______)___________________________ Date______________