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DATE_____________ DAY TIME PHONE_______________________________
E-Mail: ____________________________________________________________
ORDERED BY
Name______________________________________________________________
Address____________________________________________________________
State, Zip___________________________________________________________
SHIP TO (IF DIFFERENT)
Name______________________________________________________________
Address____________________________________________________________
State, Zip___________________________________________________________
Give a local delivery street address. P. O. BOX DELIVERY requires
physical address of post office.
(We will call you if we have a question about your order.
To place order by phone call 1-800-446-7723 Mon.-Sat. 9-6 Central
Time)
Stock Quantity Description Weight Unit Cost Total
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_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______ _________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______
_________|________|________________|______|_________|_______ _________|________|________________|______|_________|_______ _________|________|________________|______|_________|_______
Shipping: Total Weight __________ X _____ = ______ (multiply times shipping rate in state chart and add $8.00)
TOTAL (Subtotal for Texas residents )________________
8.25% SALES TAX (Texas residents only) ____________
TOTAL DUE for Texas residents ____________________
(Make Checks payable to Teas Nursery. Note: Payment by check may delay order)
Method of Payment: ___Check ___Charge Card Credit Card No.____________________________________Expires: _______
Signature: _________________________________
Type Card? ___VISA ___Discover ___Master Card ___Am.Ex
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