Printable Order Form

              Item                        QTY       Price Each         Total

1. ____________________|______X________=________

2. ____________________|______X________=________

3. ____________________|______X________=________

4. ____________________|______X________=________

5. ____________________|______X________=________

6. ____________________|______X________=________

7. ____________________|______X________=________

8. ____________________|______X________=________

                                                                          Subtotal _______
                                               FL Residents Tax ___%_______
                                                                          Shipping_______

                                                                               TOTAL______

The Palm Shop is a Florida Registered nursery # 47232878
FNGLA certified horticulture professional certification H99 6248

GIFT SERVICE:    OR:    SHIP TO:
Name___________________
Address_________________
City_____________________
State/Zip_________________
Gift Card   Y   N
Holiday / Occasion__________
Special Instructions________________

Shipping charges:

$0.01 - $9.99 .............................. .$ 7.55
$10.00 - $24.99 ...........................$. 9.55
$25.00 - $49.99 ...........................$ 11.55
$50.00 - $99.99 ...........................$ 14.55
$100.00- $149.99.........................$.18.55
$150.00 and over.............Email For Quote