Richard Eymann
2619 E. Lynne Ln.
Phoenix AZ 85042
Order Form
Order By Phone:
602-243-7064
| Order By
Mail: Richard Eymann 2619 E. Lynne Ln. Phoenix AZ 85042 |
Order Form |
Order By Phone: |
| Quantity |
Size
|
Plant Variety | Total Price |
| Total Cost of Plants | $______________ |
| Subtotal | $______________ |
|
Postage: Leave blank if
using credit card (Add 20% of total if paying via check) ($7.50 Minimum
S/H)
|
$______________ |
| Arizona Residents Add 8.1% Sales Tax | $______________ |
| Total Amount | $______________ |
|
If paying with credit card we will
charge to card exact priority postage plus $2 per box used.
|
|
|
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| Enclosed please find a check in the amount of $________ |
| Please charge the amount of $________ Plus postage to my credit card: |
| MasterCard [] Visa Number _______________________________________ Exp ___/___ |
|
Name on Card __________________________
Signature ______________________
|
| Ship To: Name ____________________________________________________________________ |
| Address _____________________________________________________________ |
| City ________________________ State________ Zip _____ |
|
Telephone (____)_______________ EMail __________________________ (Please allow 7 to 14 business days for arrival) |