Aitken's Salmon Creek Garden
608 NW 119th St
Vancouver, WA 98685

Phone: (360) 573-4472, FAX: (360) 576-7012, email: aitken@flowerfantasy.net

Name: _______________________________________
Address: _____________________________________
City: _______________________________________ State: __________ , Zip: ________________
Phone: ________________________ , Email: ___________________________

Qty. . . . . Orchid Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Price

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sub Total: $ ____________
. . . . . . . . . . . . . . 9.5% Sales tax (WA residents only): $ ____________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Shipping: $ ____________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL: $ ____________
(minimum order: $25.00 plus shipping & tax)

Credit Card No: _______________________________________
Expiration Date: _________________ , Type (Visa or MasterCard): ______________

Signature: ___________________________________