Printable Order Form
Sequim Rare Plants
500 N. Sequim Ave.
Sequim, WA 98382
(360) 775-1737
email us at: olympic_coast@olypen.com
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Name_________________________________________________________________
Mailing Address_________________________________________________________
Shipping Address________________________________________________________
City / State / Zip code_____________________________________________________
Telephone_______________________E-mail__________________________________
Method of Payment_____________Requested Shipping Date______________________
Credit Card # with Expiration Date___________________________________________
Circle one:         VISA    Mastercard     American Express    Discover
If any plant is unavailable, refund or substitution (circle one) - list substitutions on the back
Quantity
Name of Plant
Price
     
     
     
     
     
     
     
     
     
     
     
Plant total    
Shipping cost    
Subtotal    
Wash. residents add 8.7% sales tax    
Total amount of order