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| Date_____________
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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Credit Card Information
Visa ___ Mastercard
___ Card Number _____ _____ _____
_____ Exp date ________
Signature _________________________________ Date __________ Name on card_____________________________________Please print Card will be charged when order is received in order to reserve your plants for shipment.
03/01/08
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