Smith Order Form

Smith Garden Products

Order Form
Name

First NameLast Name
Email*
example@example.com
Company Name*
Company Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Date

MonthDayYear
Requested Delivery Date
Truck Type Required*

FlatbedVanVan + Pallet JackCustomer Pickup
Do you have the following equipment at your location? Please check all that apply.

Fork LiftPallet JackDock
Promo
Purchase Order Number
* Orders requiring delivery must be 18-20 pallets *

Mulches

Rows	Pallet(s) Ordered
1.5 CF - Nature's Perfect® Mulch
2.0 CF Kids Karpet® Playground Surfacing
2.0 CF - Hardwood Mulch
2.0 CF - Pine Bark Nuggets
2.0 CF - Pine Bark Mini Nuggets
2.0 CF - Pine Bark Mulch
2.9 CF - Cypress Mulch Blend
2.0 CF - Red Dyed Mulch
2.0 CF - Black Dyed Mulch
2.0 CF - Brown Dyed Mulch

Soil, Manure, and Soil Conditioners

Rows	Pallet(s) Ordered
1.5 CF - Organic Valley® Premium Potting Mix
1.5 CF - Organic Valley® Premium Garden Soil
1.0 CF - Organic Valley® Premium Compost
1.0 CF - Organic Valley® Premium Topsoil
1.5 CF - Nature's Helper® Soil Conditioner
1.5 CF - Organic Valley® Premium Raised Bed
1 CF - Topsoil
25 LB - Moo-Nure®
40 LB - Topsoil
40 LB - Potting Soil
40 LB - Compost with Manure
40 LB - Mushroom Compost
40 LB - Humus

Stone Products

Rows	Pallet(s) Ordered
.5 CF - Garick River Rock (1" -1.5")
.5 CF - GARICK Pea Gravel [Pea Pebbles]
.5 CF - Garick Play Sand
.4 CF Garick White Marble

If overweight, remove the following products:*
Freight: PREPAID FULL TRUCKLOAD (18-20) PALLETS

Half Load: $75.00 per Stop Charge for Half Truckloads

Fuel: Fuel Surcharge will apply to each truckload ordered
Additional Notes:
Should be Empty:

Smith Garden Products