<HTML> <HEAD>  <TITLE>Plant Hormones Canada</Title> <meta name="keywords" content="cloning, orchids, cactus, ornamental, plants, propagated, conservation, plant regulators, greenhouses, species, hybrid orchids. phytohormones, hormones"></HEAD> <BODY BGCOLOR=#78FF99> <H1><IMG SRC="keikicrp.gif" ALIGN=BASELINE> Order Form for Plant Regulators <HR NOSHADE SIZE=.5 ALIGN=CENTER></H1> </CENTER> <BODY> To order plant regulator products from Plant Hormones Canada print off this form (see "print" under browser file menu) and <TABLE CELLSPACING=7> <TR><TD VALIGN=TOP>Fax:</TD><TD VALIGN=TOP> 905-335-3071 </TD><TD VALIGN=TOP>or</TD> <TD VALIGN=TOP>Mail:</TD> <TD>James D. Brasch, PhD P.O. Box 40583 Burlington, ON, Canada L7P 4W1</TD></TR></TABLE> For detailed descriptions, see <A HREF="keikiprd.htm">Plant Regulator Products Available</A>. <A NAME="special"></A><TABLE CELLSPACING=2 CELLPADDING=2> <TR><TH ALIGN=LEFT>Quantity </TH><TH ALIGN=LEFT> Product</TH><TD></TD></TR> <TR><TD BGCOLOR=#EEEEEE> _____ </TD><TD BGCOLOR=#EEEEEE> Special offer Free TEMO (<A HREF="keikiprd.htm#temo">Trace Element Mix for Orchids</A>) with the purchase of any Kit purchase (see Kits #1-4 below). </TD><TD BGCOLOR=#EEEEEE> _____ </TD></TR> <TR><TD>_____ </TD><TD> NEW: Propagation CD (presentation & manual) @ $19.96 </TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Keikigrow Plus @ $24.50/$49.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Keikiroot@ $19.95/$46.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Stoprot@ $19.95/$45.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Floral Boost @ $19.50/$44.00</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Paph-Grow @ $19.50/$45.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD>Vitagrow - B1 @ $9.00</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Vitagrow - H @ $9.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Vitagrow - M @ $ 9.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD>TEMO @ $9.00/$18.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD>Kit #1 @ $26.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD> Kit #2 @ $59.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD>Kit #3 @ $42.50</TD><TD> _____</TD></TR> <TR><TD>_____ </TD><TD>Kit #4 @ $59.50</TD><TD> _____</TD></TR> <TR><TD COLSPAN=2>Postage and Handling ($9.00 in North America; other destinations at cost.) </TD><TD> _____ </TD></TR> <TR><TD COLSPAN=2>Total Enclosed</TD><TD> _____</TD></TR> <TR><TD COLSPAN=2>Check here to receive wholesale price list:</TD><TD>_____</TD></TR> <TR><TD COLSPAN=2> <TR><TD COLSPAN=3>Payment options: (All prices in US$) &#160 _____ MasterCard &#160 _____ Visa &#160 _____ Personal check</TD></TR> <TR><TD COLSPAN=3>Credit Card Number _______________________ Exp. date _________ </TD></TR> <TR><TD COLSPAN=3>Signature _______________________________________________ </TD></TR> <TR><TD COLSPAN=3>Name: __________________________________________________</TD></TR> <TR><TD COLSPAN=3>Street: __________________________________________________</TD></TR> <TR><TD COLSPAN=3>City: _____________ State/Prov: _______ Postal/Zip Code: __________ </TD></TR> <TR><TD COLSPAN=3>Telephone:__________________________________________ </TD></TR> </TABLE> NOTES: <UL TYPE=DISK> <LI>Email and fax are secure to Plant Hormones Canada <LI>You may also phone to order products at (905) 335-1713 during regular business hours (9 to 5 EST). <LI>Prices listed in US funds. <LI>Payment must accompany order. <LI>Products from Plant Hormones Canada are also carried by a number of <A HREF="keikispl.htm">quality orchid suppliers</A>. </UL> <CENTER> <TABLE CELLSPACING=12 CELLPADDING=5> <TR><TD><HR NOSHADE SIZE=.5> <CENTER><A HREF="keikihow.htm">How to Use</A> | <A HREF="keikireg.htm">Why Plant Regulators?</A> | <A HREF="keikiprd.htm">Products</A> | <A HREF="keikiord.htm">Order Now</A> | <A HREF="MAILTO:jbrasch@cogeco.ca">Contact Us</A> <A HREF="index.htm">Home</A></TD></TR></CENTER> </TABLE> </CENTER> <HR NOSHADE SIZE=.5 ALIGN=RIGHT> 04/18/08</BODY> </HTML>