Please record your name on all pages of order. Record number of pages in order.

Page ______ of ______

Purchaser Name: _____________________________________________________________

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Item NBR          Plant Name                                      Qty.           Price Ea.           Line Total

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Item NBR          Plant Name                                      Qty.           Price Ea.           Line Total

______________________________________________________________________
Item NBR          Plant Name                                      Qty.           Price Ea.           Line Total

______________________________________________________________________
Item NBR          Plant Name                                      Qty.           Price Ea.           Line Total

______________________________________________________________________
Item NBR          Plant Name                                      Qty.           Price Ea.           Line Total

______________________________________________________________________
Item NBR          Plant Name                                      Qty.           Price Ea.           Line Total

(Minimum $250.00) ________________
Total Plants Here
________________
Shipping cost
________________
TOTAL for ORDER

Canada - Use shipping rates provided.
Overseas Destinations - Shipping cost is based upon number of plants ordered and destination. Please contact us for this information before completing form or Leave Shipping and Total Line blank. We will calculate and contact you. No charges will be applied to your credit card until we receive approval.

Click Here for additional requested information.



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