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Dear customer, please print and fill out this form. You may send it via mail, fax, or email. Our mailing address is 2426 Cherimoya Dr., Vista California 92084 Customer paying via Check please do not forget to calculate shipping costs. You may access ups at: www.ups.com for shipping information (Email to: orchidsource@gmail.com)
Ordered by	Send to
Name:	Name:
Street:	Street:
City:	City:
State:	State:
Zipcode:	Zipcode:
Description of Item	Quantity	Price Each	Total Price
Sub-Total
Tax (8.25%)
Shipping Charges
TOTAL
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