Order Form

This is not a real form only a class project - I am not selling any plants.
First Name:
Last Name:
Postal Code:
*Member Number:
*If you do not have a number yet leave this field blank.
Delivery Method: FedEx UPS Canada Post
Credit Card Details - Do not enter an actual number!
Card Type: Visa MasterCard PayPal
Credit Card Number:
Name on Credit Card:
Expiry Date: Month Year

Plant Purchases

#E12-BP Black Prince Small Qty Large Qty
#E13-TT Topsy Turvy Small Qty Large Qty
#E14-FW The Farmer's Wife Small Qty Large Qty
#E15-MT Metallica Small Qty Large Qty
#H11-CP Haw. Pilifera Offshoot Qty
SubTotal: $
Shipping & Handing
Total: $
Additional Comments:
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