Fax or Mail To:

PLANTSCAPES INC.
1127 POPLAR PLACE SOUTH
SEATTLE, WA 98144

PHONE : (206) 623-7100   FAX : (206) 682-0772

COMPANY NAME ____________________________________________  ACCT #________

BILLING ADDRESS ___________________________________________________________

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DELIVERY ADDRESS __________________________________________________________

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DATE________ PURCHASE ORDER # ______________  PHONE # _____________________

ORDERED BY (please print) _________________________________  FAX #  ______________

QTY SIZE POINSETTIA COLOR CHOICE THEME # FOR BOWS & COVERS PRICE EACH TOTAL
           
           
           
           
           
           

1st CHOICE Delivery Week _________________                     SUBTOTAL _________________

2nd CHOICE Delivery Week ________________                      MAINTENANCE _____________

Maintenance: Yes ______ No _______                                        DELIVERY __________________
(please see price list)
                                                                                                     TAX _______________________

EMAIL ADDRESS ________________________                      TOTAL _____________________

COMMENTS : __________________________________________________________________