Name:______________________________________ Date:_______________________

Address:___________________________________ Your Ph. # (   )____________

        ___________________________________ Your email:_________________

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*    Check one of the following in case we are out of stock.
____ Send me substitute plants from my enclosed list.
____ Send me substitute plants of your choice and of equal value.
____ Send me a refund for plants that can not be supplied.

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Subtotal                                        __________________________
Discount: Deduct 7% on orders over $125.00      __________________________
Mailing & handling for Plants is $10.00         __________________________
California residents add 8.75% tax	        __________________________
Total price                                     __________________________