Seabrook Nursery
			11304 W. Coral Ct.
			Crystal River, FL. 34429
			Phone: 352 795-4044
			jseabro2@earthlink.net
			Please print to fill out order form and mail or email to above address. Thank you.
	Customer Name
	Street Address
	City:                                      State:                                    Zip:
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			PLANT TOTAL (minimum order $25.00)
			SHIPPING AND HANDLING CHARGES
			SUBTOTAL		$           -
			SALES TAX FLORIDA RESIDENTS 6%		$           -
			TOTAL		$           -
			Credit Card User Convenience fee (3.50+21/2%) of total	$           -	$        3.50
			AMOUNT ENCLOSED
			Please circle method of payment.
	Check        Money Order     Master Card / Visa # __________________________ Exp.____/_____
	If we are out of a particular plant, may we substitute with plants of equal or greater value? YES or NO ?
	Please list suitable alternates.
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