Please mail order form with your check or money order. You may also fax or phone the order
with your Visa or Mastercard info. Full payment is required with your order.
Name________________________________ Home Phone___________________
E-Mail______________________________ Work Phone___________________
Address_____________________________ City/State/Zip_______________
Shipping Address (if different from above)
____________________________________ City/State/Zip_______________
Type of Event_______________________ Event Date___________________
Butterflies
Monarchs: ONE dozen @ $95.00 = ________
Monarchs: _____ dozen @ $88.00 = ________
Painted Ladies: ONE dozen @ $55.00 = ________
Painted Ladies: _____ dozen @ $48.00 = ________
Containers
Customized Envelopes ______ dozen @ No Charge. Give details below.
Designer Release Box ______ @ $15.00 ________
Hand Display Cage ______ @ $30.00 ________
Custom Display Cage ______ @ $40.00 ________
$30.00 Overnight Freight, Packaging, Handling
(1 - 8 dozen Butterflies) ________
$5.00 Ground Freight on Box or cages ________
TOTAL ORDER ________
Custom Colors, Engraving, Etc.
Release Envelopes: Color ______________
Inscription desired on Envelopes_________________________________
Hand Held Cage: White or Ivory __________________________________
Custom Display Cage: White or Ivory _____________________________
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