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Name: ______________________________________________________________

Address: _____________________________________________

City: ___________________________ State: ______________ Zip Code: _____________

Telephone number: ___________________________________________________

Fax number: ____________________________________________

Email address: __________________________________________

Check One: U.P.S Groundtrak____U.P.S. Air___U.S. Parcel Post___ U.S. Priority___

Stock#======Quantity======Botanical Name==================Unit Cost=======Totals

__________|___________|__________________________________|________|_____________

__________|___________|__________________________________|________|_____________

__________|___________|__________________________________|________|_____________

If you order more plants from this initial listing, list on back or second sheet of paper

Total Plant costs(This Sheet): _____________________

Total Plant costs (Additional Sheets)________________

Shipping costs (plants)___________________

Shipping costs (supplies)_________________

Ohioans 7.25 Sales Tax____________________

Order Total_______________________________

Card#_______________________________________________________

Signature_____________________________Exp. Date_____________

If you call our Tollfree 1-800-837-2142 you can often check on availability especially on our items listed with only a certain number available.

Ground Service $8.00 Base Charge Plus $.50 per plant. in the order

Air or Priority Service $9.00 Base Charge plus $1.00 per plant in order