ORDER FORM
Birch Grove Nursery
2689 Sutherland Rd
Agassiz, BC

ORDERING OPTIONS
EMAIL: birchgrovenursery@shaw.ca
PHONE: 604-997-0480
FAX: 604-796-3495
MAIL:
7242 Morrow Rd.
Agassiz, B.C.
V0M 1A2

Contact Name: ______________________________
Business Name: _______________________
Address: __________________________
___________________________________
City: ____________ Postal Code: __________         DATE___________
Phone: __________________________
Email: __________________________

Delivery or Pickup (circle one)      
Date of pickup: __________________

Upon receiving order form, an invoice will be issued confirming available plant material,
taxes, and any applicable delivery charges.