NAME:____________________________
ADDRESS _________________________
_________________________
CITY _________________________
STATE _________________________
ZIP _________________________
pH# _________________________
e-mail _________________________
MAY WE SUBSTITUTE?
YES_____ NO______
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ITEM #
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VARIETY
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QUANTITY
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PRICE EACH
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TOTAL
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XXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXX
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SUB TOTAL
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XXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXX
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CO. RES.
4% SALES
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XXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXX
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S&H
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SHIPPING AND HANDLING
$9.00 FOR THE FIRST 10 PLANTS
$0.45 FOR EACH PLANT OVER 10
FREE SHIPPING ON ORDERS OVER
$200.00
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MAIL ORDER FORM AND CHECK TO:
GREENHORN VALLEY IRISES
PO BOX 19609
COLORADO CITY, CO. 81019