Mountain Orchids
#1658, Route 100 North
Ludlow, Vermont 05149 - USA
(802) 228-8506 = Phone & Fax       Email: info@mountainorchids.com
Date: 

Please complete this form and either mail or fax it to the above address.
Client Name:  Ship to: (if different)
Address:   
City & State:   
Zip Code:   

Phone #:

 Work Phone #:
Fax #:  Work Fax #:

Email #:

(be specific = caps/lower case, etc.)

 Work Email #:

Qty:

Plant Description & preference for (potted or mounted if choice is available.):

Price Each:

Total:
       
       
       
       
       
       
       
       
       
       
       
       
       
       

Discounts: Not combinable  with Special Packages offered.  

                      ($150+ Plant Total =less 5%,  $250+ = less 10%,  $350+ = less 15%)

 

Ship: US Priority Mail = $9.00 (2 day +)

         US Express Mail = $24.00 min (Usually overnight but may be two day)

 

Payment methods: Visa or MasterCard, Check or Money Order

Card # :
Expiry Date:
Signature:
Order Subtotal =  

Discount Allowed =

  
Shipping =  
Vermont clients add 6% Sales TX =  
Total of Order =