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Week
you'd like to receive your plants _____________
Name_____________________________________________________ Address_______________________________________ Shipping address ___________________________________ City, State & ZIP ____________________________________________Hardiness zone_____ Phone ________________________________ E-mail _____________________________________________
Please advise if SIZE substitutes are not acceptable. If you wish plants backordered, a separate shipping charge will apply.
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| Total Plant Cost: | ||||||||||||
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Sales tax is figured after adding the shipping
Credit Card Information
Visa ___ Mastercard
___ Discover ___ Card Number _____ _____
_____ _____
Exp date ________
Signature _________________________________
Date __________Security code________
Name on card_____________________________________Please print Billing address on card___________________________________________ Card will be charged when order is received in order to reserve your plants for shipment.
03-06-2013
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