Mail Order Form Address: PO Box 342, South Hobart, TAS 7004 Ph: 0418 883 583 Email: [email protected] Note: Please include payment with order and make cheques or money orders out to PEN-LAN PLANTS. All plants are $10.00 each unless otherwise notified. POSTAGE RATES Within Tasmania $10.00 Victoria $13.00 To other states (excl. WA) $16.00 For orders over 15 plants PLEASE add $4.00 extra to final amount. Customer Details: Name: ______________________________________________________ Address: ______________________________________________________ __________________________________ Postcode: ___________ Telephone:______________________________________________________ E-Mail: ______________________________________________________ Quantity Plant Name Sub Total: Postage & Packing: Total: Website: http://www.auricula.net.au Price Each Total Price
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