Order Form for Plant RegulatorsOrder Form for Plant Regulators| Fax: | 905-335-3071 | or | Mail: | James D. Brasch, PhD P.O. Box 40583 Burlington, ON, Canada L7P 4W1 |
| Quantity | Product | |
|---|---|---|
| _____ | Special offer Free TEMO (Trace Element Mix for Orchids) with the purchase of any Kit purchase (see Kits #1-4 below). | _____ |
| _____ | NEW: Propagation CD (presentation & manual) @ $19.96 | _____ |
| _____ | Keikigrow Plus @ $24.50/$49.50 | _____ |
| _____ | Keikiroot@ $19.95/$46.50 | _____ |
| _____ | Stoprot@ $19.95/$45.50 | _____ |
| _____ | Floral Boost @ $19.50/$44.00 | _____ |
| _____ | Paph-Grow @ $19.50/$45.50 | _____ |
| _____ | Vitagrow - B1 @ $9.00 | _____ |
| _____ | Vitagrow - H @ $9.50 | _____ |
| _____ | Vitagrow - M @ $ 9.50 | _____ |
| _____ | TEMO @ $9.00/$18.50 | _____ |
| _____ | Kit #1 @ $26.50 | _____ |
| _____ | Kit #2 @ $59.50 | _____ |
| _____ | Kit #3 @ $42.50 | _____ |
| _____ | Kit #4 @ $59.50 | _____ |
| Postage and Handling ($9.00 in North America; other destinations at cost.) | _____ | |
| Total Enclosed | _____ | |
| Check here to receive wholesale price list: | _____ | |
| Payment options: | ||
| (All prices in US$)
_____ MasterCard _____ Visa _____ Personal check | ||
| Credit Card Number _______________________ Exp. date _________ | ||
| Signature _______________________________________________ | ||
| Name: __________________________________________________ | ||
| Street: __________________________________________________ | ||
| City: _____________ State/Prov: _______ Postal/Zip Code: __________ | ||
| Telephone:__________________________________________ | ||
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