Plant Order Form

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Plant Order Form
Phone 563.535.7231
Fax
563.535.7362
Contact Information Below
Date
Helping You Create
P.O.#
Your Own
Tax ID #
Natural Beauty
Company
Name
Billing Address
City|State|Zip
Credit Card Information
Shipping Address
Company
Type
City|State|Zip
Number
Phone 1
Exp Date
Phone 2
3 Digit Code
Email
Check Number
Need By /Ship Date
Line
Item Code
Description
Unit Price
Extended Price
Qty (7 Plug Min)
BIR-BUT-STA
Bird - Butterfly Attractor Starter Plant Kit
2
$160.00
$320.00
Example
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Subtotal
Shipping Information
Plant S/H $
Plant Orders - Add 15% to the Plant Subtotal or $10.00 Minimum. Plant
Subtotal $
orders are shipped from approx. April through October. We may
Iowa Residents Tax 7%
postpone shipments during periods of extreme heat.
Total $

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