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Order Blank

Date___________________________


NAME                                            

ADDRESS                                            

PHONE            DESIRED  SHIPPING  DATE            

SUBSTITUTE  ?   (    )  YES      (    )  NO            
IF  YES,  LIST  SOME
                                            

QUANTITY                           NAME  OF  CULTIVAR                                PRICE

                                            

                                            

                                            

                                            

                                            

                                            

                                            

                                            

                                            

                                            

                                            

                                            

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________                                                     

                                                SUB  TOTAL                                

          
    SHIPPING    $10.00 + $0.50 per plant               ___________________     
              
                                    
                                  TOTAL  ENCLOSED               ___________________



THANK YOU FOR YOUR ORDER