Order Form

We accept money orders and personal checks made out to 'The Lavender Fields'. Orders placed with personal checks will be held until the check clears, usually 10 business days. Please fill out the form below/print and send your check or money order to:

The Lavender Fields
P.O. Box 2162,
Valley Center, CA 92082

Name
Address (Line 1):
Address (Line 2):
City:
State:
Zip Code:
Phone:
Toll Free Number:
Fax:
Email:
Items Quantity Price                                                               Sub-Total     Shipping   CA residents add 7.75% sales tax Tax     Total   If shipping to different address: __________________________________ __________________________________ __________________________________ Message: __________________________________ __________________________________ __________________________________ SHIPPING & HANDLING (PER SHIPPING ADDRESS) $0 - $50..............$8.95 $51 - $100..........$9.95 $101 - $150....................$10.95 OVER $150....................FREE Credit Card #_____________________________________ Name on Card____________________________________ Billing Address___________________________________ ________________________________________________ Expiration Date___________________ Comments: