QTY                Plant Name                          EACH     Total
_________________________________________________________________________
|       |                                              |        |        | 
|_______|______________________________________________|________|________|
|       |                                              |        |        |  
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________| 
|       |                                              |        |        |
|_______|______________________________________________|________|________|
                                                                
                                                  TOTAL FERNS    ________

                                               SHIPPING FERNS    ________

                                                  TOTAL                                                          TOTAL    ________

PLEASE REMEMBER SHIPPING IS WEATHER DEPENDENT AND DOES NOT BEGIN UNTIL
EARLY April

Substitutions _________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________


Please Make checks or money orders
out to:
Nutramedical...
Mail To:
Nutramedical
2665 Table Rock Rd
Oakland, Md 21550