| Quantity |
Genera or Plant Type *See abbreviations above |
"Hybrid" or 2nd Plant Name |
Price Each/ or A Pair Cost |
Subtotal Cost |
| EXAMPLE; 1)(2 Qty.) |
EXAMPLE;(Epiphyllum)
Or abbreviate as Epi |
EXAMPLE;("Ambrosia") |
EXAMPLE; 4 cuts = 2 @Pair ($16.49) |
EXAMPLE;($32.98) |
| 1)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 2)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 3)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 4)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 5)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 6)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 7)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 8)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 9)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 10)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 11)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
| 12)________ |
Genera;_______________ |
Hybrid/2nd name;____________________ |
$________ |
X= $________ |
(this page) Subtotal $__________
(2nd page if any) Subtotal $__________
Sales Tax if residing in California x 8.00% $__________
( Use tables below to calculate) Shipping $__________
* see below ( Add Heat Pack if needed @ $2.50 ) Heat Pack $__________
Total $__________
*Required fields **Required for credit cards
*Name___________________________________________________*Date in M/D/YR format: ____/____/______
*Street Address________________________________________________
*City:______________________*State:____________*Zip Code:_________
*Country:_______________________
* At least one phone contact # required below.
Home Phone:___________________
*Cell Phone:____________________
(If no cell phone please provide an alt. # where we can contact you about your order if needed.)
Work Phone:___________________
*Email:________________________
( Shipping tracking numbers will be sent to the email address you provide above.)
There are 2 options for sending your payment;
1) Pay by check or money order.
Make your check or M.O. made payable to; Epicacti Nursery then send along with this completed order form to the address below;
(Info; Epicacti Nursery is our main growing area nursery/pick up location, which if you are in the aera we welcome you to visit, open most Saturdays 9am to 5pm. Please note; All items displayed on our website are pick-up only in Fallbrook, California, USA)
Epicacti / Mattslandscape
555 N. El Camino Real
Bldg. #A Suite #250
San Clemente, Ca. 92672
( If sending from outside the U.S. remember to add U.S.A. at end of the address above.)
(Please note: Checks or International Money Orders must be in USD-U.S. Dollar denominated funds. Some out of state checks may take 5 to 10 days to process before order is shipped.)
2) Pay by credit card.
(Simply fill in the credit card info. below)
We accept Visa, Master Card, Discover and Amex
**Name of person on card:________________________________ Check here if name is same as above □
**Type; Visa
□ MC
□ Discover
□ AMEX
□
(Check only one box above for CC type.)
**CC#____________________________________________**Exp. date M/YR_____/_____**CVC#_______
( Note: CC# is a 16 digit number on front, CVC is a 3 digit number on back of card.)
Notes/Comments section;____________________________________________________________
________________________________________________________________________________
* Heat pack needed ? Yes, then please mark this box □
(if order is under $50.00 USD value add $2.50 if order total is over $50.00 value excluding shipping costs heat packs are free of charge.)
Please mail this completed form to the address above.
