Order Form for Vertical Garden Plant Stands

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Bill Warren
16445 County Road 455
Montverde, FL 34756-3602
Phone: (407) 469-4499
Fax: (407) 469-4494

Plant Stands Order Form
(Use Order Form to order by: Phone, Fax, E-Mail, U.S. Mail)

Ordered by:

Ship To (if different):

Name:

Address:

City:

State:

Zip:

State:

Zip:

Telephone:

Fax Phone:

E-Mail:

Comments/Questions:

Quantity

Description

Unit Price

Total

Single Plant Hook

$ 5.00

4 Ft. Plant Stand

$20.00

5 Ft. Plant Stand

$25.00

6 Ft. Plant Stand

$30.00

3 or 4 Pot Plant Table

$35.00

Multiple Tier Plant Stand

$35.00

6 Pot Plant Stand

$40.00

9 Pot Plant Stand

$50.00

7% Sales Tax (Florida Residents):

Shipping/Handling Fees (see note**):

Grand Total:

Physical street address is required for delivery. Telephone number is required by carrier for shipping purposes.
**Shipping and Handling fees will be added by WeldTech Company, based on actual carrier shipping costs.

Method of Payment: Check American Express Money Order Discover Master Card Visa Credit Account Number:_____________________ Do NOT enter your number on Order Forms submitted by E-Mail; we will contact you by telephone to obtain the credit card number.	Expiration Date: ______________ Security Code (3 digit number from back of credit card; if shown): ______________ ________________________________________ AUTHORIZED BUYER'S SIGNATURE
(1) Items will be shipped via ground UPS, USPS, or other such carrier. (2) Please allow 15 days for manufacturing of products and delivery. (3) Checks and Money Orders should be made payable to: WeldTech Company. (4) Print this page to submit order by Fax or U.S. mail. Thank you for your business!