Order Form
 

Company Name:                                                                                                 
Contact Name:                                     
Bill To:                                                   Ship To:                                         
   
   
   
   
Phone:                                                 Fax: 
Email Address:
Quantity

Plant Name
   
   
   
   
   
   
   
   
   
   
   

Credit Card

Account Number

Exp. Date

     

Shipping Method

 ___ UPS:   ___ Ground    ___ 2 Day Air    ___ 3 Day Select
 ___ FED EX:  ___ Priority Overnight    ___ Standard Overnight    ___ 2nd Day    ___ Express Saver
 ___ Air Cargo:   Specify Airlines ___________________________  
Comments:
Signature:Date:

1728 Kelly Park Road · Apopka, FL 32712 · Tel: (407) 889-8055 · Fax: (407) 889-2523