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Date_____________
Week you would like to pickup your plants. _____________
Name_____________________________________________________ Address_______________________________________ Shipping address ___________________________________ City, State & ZIP ____________________________________________Hardiness zone_____ Phone ________________________________ E-mail _____________________________________________ Many
plants are available in limited quantities only. With the online catalog prepared
in advance, things can happen to plants to make them unavailable when you
order. If this should happen, do you want:
Please advise if SIZE substitutes are not acceptable. . Orders are acknowledged by e-mail or snail mail.
Special Instructions: __________________________________________________
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Total Plant Cost: | ||||||||||
Credit Card Information
Visa ___ Mastercard
___ Discover ___
Card Number _____ _____
_____
_____
Exp date ________
Signature _________________________________
Date __________Security code________
Name on card_____________________________________Please print Billing address on card___________________________________________
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