Comanche Acres Iris Gardens
12421 SE State Hwy 116
Gower, MO 64454
Phone 1-816-424-6436
Fax 1-816-424-3836 Toll Free Orders Only Please 1-800-382-IRIS (4747)
Name:________________________________
Address:______________________________ City:_____________________________
State/Province:___________________ Zip:________ Country:_________________
Phone:__________________ E-mail:________________________
Qty
Name
of Iris
.Price
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Total of 1st page $ _________
Page 2 0f Fax/Mail Form
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Total From This Page $_________
Total From 1st Page $_________
Sub Total $ _________
6% Sales Tax (Mo residents only) $_________
Please add packing and handling charge Packing (see chart at left) $ ________
1
to 6 plants add $7.95
Total $ _________
6
to 11 plants add $8.95
12
to 20 plants add $11.95
21
to 30 plants add $14.95
31
to 50 plants add $17.95
Over
50 plants add $24.95
Account
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Signature:_______________________