FUNDRAISER ONLY Order Form

Shipping to Continental United States ONLY!!!

Please Note:
Tillandsia International cannot guarantee that the airplants will be in bloom when your order is shipped!

MINIMUM ORDER REQUIREMENT: 40 UNITS

Please fill out the Shipping information below:

Organization Name
Contact Name:
Street Address:
City, State:
Zip Code:
E-mail: (required)
Phone:
How Did You Hear About Us?

 

Method of Payment: Visa: MasterCard  Card Number   Exp. Date 

Please fill out the "REQUIRED" Credit Card Billing information below:

Name on Card: (Required)
Street Address: (Required)
City, State: (Required)
Zip Code: (Required)

Comments:

Minimum Order Requirement: 40 Units

Quantity	Description	Unit Cost	Total Cost
	Fundraiser Airplant Package (minimum 40 units)	$3.50
	Sample Airplant Package	$10.00
	Fundraiser Pre-Sale Order Form	No Charge

 

Order Total:

Please allow 1 - 2 weeks for delivery after receipt of order.

  Thank you Or you may print out this form, complete it, and mail or fax it to: Tillandsia International 43714 Rd. 415, Coarsegold, Ca. 93614 (559) 683-7097 •  Fax (559) 658-8847