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Glasshouse Works Order Form
Plants Traditional & Unusual
Church Street, P.O. Box 97
Stewart, OH 45778-0097
http://www.Exoticplants.com
800-837-2142 or 740-662-2142

Name: _______________________________________________________________________

Address: _____________________________________________________________________

City: _____________________________ State: ______________ Zip Code: _____________

Telephone number: ____________________________________________________________

Fax number: __________________________________________________________________

Email address: ________________________________________________________________

Check One: U.P.S Groundtrak____U.P.S. Air___U.S. Parcel Post___ U.S. Priority___

Stock#======Quantity======Botanical Name==================Unit Cost=======Totals

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If you order more plants from this initial listing, list on back or second sheet of paper

Total Plant costs(This Sheet): _____________________

Total Plant costs (Additional Sheets)________________

Shipping costs (plants)___________________

Shipping costs (supplies)_________________

Ohioans 7.25 Sales Tax____________________

Order Total_______________________________

Master Card _____Visa_____Discover_____American Express_____

Card#_______________________________________________________

Signature_____________________________Exp. Date_____________

=======>If our of a variety, may we: Substitute____Credit____

If you call our Tollfree 1-800-837-2142 you can often check on availability especially on our items listed with only a certain number available.

Ground Service $9.00 Base Charge Plus $.60 per plant. in the order

Air or Priority Service $ 10.00 Base Charge plus $1.10 per plant in order

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