New Page 1

VINTAGE ORCHIDS
ORDER FORM

Please Print For Delivery By Fax or Mail

Please provide the following contact information:

First Name

Last Name

Company

Mailing Address

Shipping Address

City

State

Zip Code

Phone

FAX

E-mail

Please provide the following order information:

QTY DESCRIPTION
PRICE EA.
TOTAL

Sub-Total

California Residents Add 7.5% Sales Tax

Shipping/Handling - $6.00 minimum
or 8% of Sub-Total

TOTAL

Payment Method

Check

Credit Card

If paying by credit card:

Credit Card

Cardholder Name

Card Number ---

Expiration Date (mm/yy)

Print Form For Delivery By Fax or Mail

VINTAGE ORCHIDS
2151 West Dry Creek Road
Healdsburg, CA 95448
FAX: (707) 431-2974 Phone: (707) 433-6795
e-mail: bob@vintageorchids.com

HOME

First Name
Last Name
Company
Mailing Address
Shipping Address
City
State
Zip Code
Phone
FAX
E-mail

Sub-Total
California Residents Add 7.5% Sales Tax
Shipping/Handling - $6.00 minimum or 8% of Sub-Total
TOTAL

Credit Card
Cardholder Name
Card Number	---
Expiration Date (mm/yy)

Copyright © 2000 Vintage Orchids. All rights reserved. Revised: October 24, 2000

Copyright © 2000 Vintage Orchids. All rights reserved.
Revised: October 24, 2000