The Wild Orchid Order Blank (Print This Page)  Quan.    Item Number / Description  Cost  Each   Total   Cost                                                                                                                 ORDER TOTAL     Iowa Residents, add 6% Sales Tax          Shipping $5.00 or largest amount indicated     ORDER GRAND TOTAL     If Applicable: VISA     MasterCard                                                                                            Credit Card Account Number                                                      Expiration Date Please PRINT names and addresses!       Date                                           S O L D   T O                                                               S H I P   T O                                                                                                                                                                                                                                                                                                                                                                                                                                     Telephone:                                               E-mail:                                                    The Wild Orchid 22957 - 280th Street Adel, IA 50003-4491 PHONE: (515) 993-4841   FAX: (515) 309-2302   E-MAIL: orchidmini@aol.com