Printed Order Form

Please provide the following contact information:

Name	Date
Street Address	Ship Date
Address (cont.)
City
State	Zip Code
Home Phone	E-mail

Please provide the following plants you would like to order:

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Plant Name

Number Ordered $

Sub total  $

Shipping $

WA residents add 7.9% tax $

Total $

Additional information:

Please submit payment with form.  If faxing order, credit card payments will require payment through www.Paypal.com. Orders may also be emailed and paid through Paypal.  $8.00 for 1st plant + $1 for each additional plant.  For shipments within WA, please contact me first for cheaper shipping rates .  Thank you for your order!