Instructions for mail: Click and drag mouse across order form to highlight it. Click File from the Toolbar at the top of the screen. Click Print. Under "Page Range," click on "Selection." Click on the "Print" Button.
For e-mail: Send to pgall@latech.edu.
LOMAX GREENHOUSES ORDER FORM
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Customer Name: |
|
|
|
|
|
|
| Phone Number: |
|
|
|
|
|
|
| FAX Number / E-mail: |
|
|
|
|
|
|
| Billing Address: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Date of Pickup: |
|
|
|
|
|
|
|
|
|
|
|
|
|
| Do not send money with your order. Payment should be made when you pick up your poinsettias. |
| If you do not specify a pickup date on this form, please call us a day or two ahead of coming |
| to confirm arrival time and other details. |
|
|
|
|
| Special Instructions/Requests: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Size or Type of Poinsettia |
Color of |
|
Check if |
*Color of |
*Color of |
Price |
| or Other Plant |
Poinsettia |
Quantity |
Unwrapped |
Foil Wrap |
Ribbon |
per Plant |
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
| *Foil is available in moss green, red, and gold. Ribbon in available in red, green, or cream. |
|