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:

                 

 

 

 

If you can not print this order form, you may type or hand write your order.

Please include all information requested above.

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