GREEN: PLANT RESEARCH, P O BOX 597, KAAAWA, HAWAII 96730 U S A

Received                              Sent                   

ORDER FORM

PLEASE LIST SEVERAL SUBSTITUTIONS  OF EQUAL VALUE. PAY WITH PAY-PAL (Green: Plant Research) greent010@hawaii.rr.com) CHECK, MONEY ORDER OR BANK TRANSFER. PLEASE MAIL IN YOUR PAYMENT WITH THIS ORDER FORM AS AN E-MAIL ATTACHMENT OR LIST PLANTS ON THE PAY-PAL FORM.

ITEM

QUANTITY

SUB TOTAL

TOTAL (in US dollars)

 
SUBSTITUTIONS:

A

 

B

C

NAME j
ADDRESS
CITY
STATE or PROV
ZIP/POSTCODE
COUNTRY
 
COMMENTS OR INSTRUCTIONS:

 

[bottom.htm]