Print this form and mark the items and quantities that you want to order.

Current discounts are figured into these prices.

Item:

Quantity:

Price:

Starter Kit

$16.00 each

10 Gallon Bottle (Indoor)

$25.00 each

10 Gallon Bottle (Outdoor)

$25.00 each

Indoor

Outdoor

1-1 Gallon Gel Pack

$  5.00 each

2-1 Gallon Gel Packs

$  8.00 each

5-1 Gallon Gel Packs

$15.00 each

Colorado Residents add 7.4% Sales Tax

Sub Total:

Shipping:

Shipping & Handling:

Tax:

US Only- Add $5.20 for the first item

Donation:

  $3.50 for each  additional item for shipping & handling.

Total:

Outside the US- Not available for international orders

Make your check or money order payable to:
 DNB Designs
PO BOX 620814
Littleton, CO  80162-0814

www.plantgel.com

Shipping Address:

Name:

Company:

Address:

City:

State:

Zip Code:

Telephone:

E-mail Address: