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ORDER/FAX FORM (907) 463-3454
(See below for product prices & shipping costs)
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| Customer Information: | Ship To: (Same as "Customer Info" unless specified) |
| Name: | Name: |
| Address: | Address: |
| City/State/Zip: | City/State/Zip: |
| E-mail Address: | E-mail Address: |
| Telephone# | Telephone# |
| Quantity |
TOPsider
Planter P30
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Topsider
Planter P24
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Tri-TOP's
Planter PT
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Topmount
Brackets B01
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Sidemount
Brackets B02
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Colors
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Price
Each
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Price Total |
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| Total Planter Cost | = $___________ | ||
| Total (S&H) Cost | = $___________ | ||
| (Total planter cost) + (shipping & Handling) = Total Price ----> | Total Price | = $___________ | |
| *Residents of Juneau, Alaska please add 5% to Total Price ----> | + | __________ | = $___________ |
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( ) I am enclosing a check or money order for the Total Price made payable to Partition-Planters.com. Please note that we do not accept checks by fax, so if you are paying by check you must mail it in. (See below for details) |
| ( ) I want to charge this purchase to my Credit Card |
| Credit Card (check one): |
 VISA |
| MasterCard |
| Discover |
| Card Number: |
| Expiration Date: |
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Signature: ____________________________ |
| Your planter(s)
will be shipped within 48 hours of payment confirmation.
I authorize Partition-Planters.com to charge $ (_____________) US$ to my credit card for the purchase of Partition Planters. ( )S.E.F.W. |
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Print, then fill out form (above) Fax to: (907)
463-3454 Partition-Planters.com Use the Charts (below) to calculate Planter Price (each) and Shipping and Handling costs. Click here to view planter colors. Plants not included. |
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| 48 contiguous states addresses. --Use chart below-- (UPS Ground) | Alaska and Hawaii addresses. --Use chart below-- (UPS 2nd Day Air) *Intra-Alaska: expect 3 business days for package arrival. | ||||||||||||||||||||
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Warning: Partition-Planters.com aggressively prosecutes fraudulent credit card use. |
