Please Print form to order by mail

PLANT PRICES: All plants are $6.50 each unless otherwise noted.

SPECIAL OFFER: 10 DIFFERENT PLANTS (Choose a single genus or any combination. All varieties are sellers choice.) - $35.00 plus shipping.
Wholesale Orders Accepted - Club Sale Discounts - Project Plants

SHIPPING: ALL SHIPMENTS ARE BY USPS PRIORITY MAIL APRIL 1ST TO NOV. 1ST OR WEATHER PERMITTING $15.00 + 25¢ PER PLANT OVER 10.

LARGE WHOLESALE ORDERS PAY ACTUAL SHIPPING COSTS

**** Gift Certificates are Available ****

*** PLEASE NOTE: THE MINIMUM ORDER IS 6 PLANTS ***

Note: Minimum order is 6 plants. Free Gift with every purchase.

Quantity  

Variety Name

Office

Use

Only

Price Each

Total

Plants    

Sent

Sub

Refund

   
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               

***** PLEASE NOTE: THE MINIMUM ORDER IS 6 PLANTS *****            TOTAL    

$

Please complete this order form and mail to:
Gary S. Mikita, OUT OF AFRICA • 2842 Brown Street • Portage, IN 46368

BILLING ADDRESS:

Name_______________________________________

Address_____________________________________

City__________________ State____ Zip_______

Phone Number________________________________

Email Address________________________________

Date_____________________

SHIP TO:
[] Same as Billing          [] Other Address below:

Name_______________________________________

Address_____________________________________

City__________________ State____ Zip_______

 

Have you ordered from us before?    [] Yes   [] No

PLEASE INDICATE METHOD OF PAYMENT

Enter Total from Above: $_______________________


Shipping Charges: $____________________________
(All orders are shipped USPS Priority Mail)
$15.00 + .25¢ per plant over 10


Subtotal:__________________________

[] Check  [] Money Order 
[] Visa [] Mastercard  [] Discover

For Credit Card Orders Only:

Card #_________|_________|_________|_________

Expiration date: _____/_____ (MM/YY)

Three digit security code: ____ 

Signature____________________________________

 

Credit cards WE ACCEPT PAYPAL

Sales Tax: IN Residents add 7% $_____________

ALL PLANTS ARE SHIPPED IN 2½ OR 3” POTS.
DISCOUNTS GIVEN TO CLUB SALES

Total Enclosed $______________________


Phone / E-mail Orders Taken________________


 

If we are out of varieties you have selected, should we:

[] No Substitute
[] Substitute with Out of Africa's choice
[] Substitute with the following:

______________________________________________

______________________________________________

______________________________________________

 (If no indication is made, we will substitute, or issue credit.)