Barry Schlueter Hibiscus Seed--Order Form

Price: $2.00 per seed; $1.80 per seed for orders of 100 or more. To place an order, print and complete this form.

Enclose cash, check, or money order, and mail to—Susan Schlueter, 18300 Anne Dr., Houston, TX 77058

Questions?? Email: susan@barryschlueter.com

Quantity of Seed Cost Seedling Cross

example 10 seeds $20.00 Double Date X Afternoon Delight

Subtotal

Sales tax for TX residents- 8.25%

Shipping & Handling

($2.00 for Continental U.S., $4.00 for outside the U.S.)

TOTAL

Your Name _________________________________________________________________

Street Address ______________________________________________________________

City, State, & Zip Code ____________________________________________________

Country ____________________________________________________________________

Email ____________________________________________________________