Name _________________________________________________________
Address ______________________________________________________
City ____________________________State __________ Zip ________
Phone ______________________ Email ___________________________
Desired Shipping Date* _____________________________
Make checks or money orders out to: Peter Mondron
| Quantity | Variety | Each | Total Price | |
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| 7 | ||||
| 8 | ||||
| 9 | ||||
| 10 | ||||
| Sub-Total | ||||
| OH residents add sales tax of 7% -- Tax | ||||
| Standard Shipping and Handling = $10 + $1.00 per Plant | ||||
| Total | ||||