122 Calistoga Road, #178 |
Toll Free Fax: (800) 723-1771 |
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| ITEM# | QTY | DESCRIPTION | UNIT PRICE | TOTAL |
| * California residents pls add 8.25% sales tax | SUBTOTAL: **Minimum order is $6.00.** |
_________ |
| on all flowers and medicinal herbs. | * TAX: | _________ |
| SHPNG & HNDLG: | $3.95 | |
| Please make checks payable to S.G.S. | TOTAL: | _________ |
Please charge my credit card:
Mastercard ________ VISA ________ Expiration Date: ________________
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Print Name: ____________________________________________________
Signature: _____________________________________________________