Please PRINT names and addresses!			Date
S O L D   T O			S H I P   T O
Telephone:			E-mail:
Substitution OK?     No     Yes   (If "yes" please list)

Amount of Check Enclosed $                    (or if preferred, check one of the credit cards)		VISA MasterCard
				Your credit card account number
				Expiration Date
				Signature

QTY	PLANT DESCRIPTION	PRICE	TOTAL
SUBTOTAL
IOWA RESIDENTS ADD 6% SALES TAX
SHIPPING			$  5.00
TOTAL