PEN-LAN PLANTS Order Form

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