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do not EMAIL VISA NUMBER!






























Sub-Total

$18.00

7.25% ( ($18.00 + Sub-Total) X .0725) =









SHIPPING CHARGES:

California: 1st plant = $6.00; 2nd plant = $2.00; 3rd and succeeding plants = $1.00 each

Mountain/ Pacific Time Zone; 1st plant = $8.00; 2nd plant = $3.00; 3rd and succeeding plants = $1.50each

Central time zone 1st plant= $15, 2nd plant=$5, 3rd and succeeding plants $5
Eastern Time Zone; 1st plant = $16.00; 2nd plant  and succeeding plants = $7.00 each 

EXAMPLE: 4 plants to California, 1st plant = $6.00, 2nd plant = $2.00, 3rd plant = $1.00, 4th plant = $1.00; Total shipping cost = $10.00
 
 
 

Shipping___________

ARK, FLA, LA, MISS, TEX, TENN, or VA. There is a $20.00 surcharge .(Phytosanitary certificate fee.)

Total____________

Do NOT EMAIL VISA or Master Card #
VISA or Master # ( __________ )-( __________ )-( __________ )-( __________ )

expires Month( __) Year ( _____)

Signature _____________________________________.

Printed Name on the Credit Card: First Name______________ Middle Initial_____ Last Name_______________

If your billing address or name on card are different than shipping info, PLEASE  list here

IF YOU FAX US THIS FORM REMEMBER TO INCLUDE YOUR EMAIL ADDRESS

( We don't release names, addresses, numbers, or any other data from you, but we may need to contact you in order to process your order correctly, and we

prefer email as it is the fastest, most convenient and most inexpensive. If you do not wish to communicate via email you may leave us your phone number.)

(The plants weigh about 3 lbs. each)
Phone 805-438-5992 Fax 805-438-5993
Address : Las Pilitas Nursery 3232 Las Pilitas Road, Santa Margarita, California 93453