ORDER FORM
Phelps Farm Orchids Inc.
15808 Timberwood Drive
Tampa, Florida 33625
Ph./Fax (813) 961-8427
Date                      

 

Name
VISA NUMBER
Address #
City
MASTERCARD NUMBER
State  #
Zip
Expiration Date :
Daytime phone number Signature:
 
QUAN.
SIZE
DESCRIPTION
UNIT PRICE
TOTAL
         
         
         
         
         
         
         
         
         

DISCOUNTS
Discounts do not apply to software
$100 - $499 Less 5%
$500 - $999 Less 10%
Over $1000 Less 20%

SUB TOTAL  
DISCOUNT  
FL. RESIDENTS ADD 7% SALES TAX  
SHIPPING: $10.00 packing and handling, plus actual shipping charges. (Shipping charges will be charged to your credit card after shipping.)  
TOTAL  




Some items or pot sizes are in short supply and may sell out. May we substitute? Size
Yes		 Size
No

Item
Yes

 Item
No

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