Customer Information
Name:
Address:
line 2:
City:
State:
Zip:
Phone:
Payment Information
PayPal (use your PayPal account or a credit card through PayPal)
Check/Money Order
allow 10 days for check to clear before shipping
Order Information
Desired Shipping Date:
Yes, substitute if not available
No, Do not substitute if plants are unavailable (contact before placing your order)
Qty
Plant Name
Price (per plant)
Total Price
__________
Subtotal $
Shipping ($10 + $1 per plant over 3) $
VA Residents Add 5% Tax
__________
Total $