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QUALITY FLOWERBULB BROKERS


335 S. High St. Randolph WI 53956


SPRING 2012 ORDER FORM


ORDER TOLL FREE 1-800-883-6998 M-F 8:00 a.m. to 4:30 p.m. CST


Extended Hours January 15 – May 15: M-F 7:30 a.m. to 5:30 p.m. CST Sat. 8:00 a.m. to 3:00 p.m. CST


FAX TOLL FREE 1-800-374-6120


Available 24 hours a day, 7 days a week ONLINE


www.mzbulb.com Place your order online anytime.


INQUIRY HOTLINE 1-800-546-4053 8:00 a.m. to 4:30 p.m. M-F CST


E-MAIL: info@mzbulb.com PAYMENT METHOD:


❑ MASTERCARD Credit Card No.


FOR OFFICE USE ONLY


Date..................Init........... CK..................................... CA..................................... CR..................................... G....................................... T........................................ CID.................................... O#.....................................


(PLEASE DO NOT SEND CASH)


❑ Check or money order ❑ Gift Certifi cate ❑ VISA


❑ DISCOVER ❑ AMERICAN EXPRESS


PLEASE MAKE CORRECTIONS TO PRE-PRINTED ADDRESS ABOVE. IF THE ADDRESS IS NOT PRE-PRINTED, WRITE IN YOUR COMPLETE ADDRESS.


We request that all members of the same household order under one name. NOTE: A street address must be included so delivery carriers can locate you.


❑ Check box if a gift order. Complete gift form on the back. Daytime Phone ( Evening Phone (


) )


❑ Check box if you are interested in receiving our email newsletters and special offers.


E-MAIL ADDRESS (Order confi rmation and shipping information will be sent by E-mail)


SHIP TO: NAME Signature of card holder Expiration Date NOTE: Credit cards will be charged when order is placed. LINE#


1 2 3 4 5 6 7 8 9


10 11


12 13 14 15 16 17


PACKING AND DELIVERY CHARGES Includes import duties, packing, insurance and delivery charges to your home.


Amount of


order


Under $60.00


Include Minimum $6.00


Between $60.00 and $500.00


Merchandise Total


10% of $500.00


Maximum $50.00


SHIPPING RESTRICTIONS: We no longer ship to AK, HI or outside the continental U. S.


Planting Information will be included with every order.


THANK YOU FOR YOUR ORDER! Over TOTAL OF ABOVE


AMOUNT FROM OTHER SIDE Packing, Insurance & Delivery Charge (see chart)


MERCHANDISE TOTAL


Less 10% discount on merchandise total if order is received by March 1, 2012


Additional Shipping Addresses – add $5.00 each ORDER SUBTOTAL


WISCONSIN ORDERS – Add 5% sales tax plus applicable sales tax for your county


Add CAT #54500 Gift Purchases (from reverse side) Deduct McClure & Zimmerman credits (if any) ORDER TOTAL


❑ YOUR PRIVACY IS IMPORTANT TO US We occasionally make our mailing list available to carefully screened companies whose products or services may be of interest to you. If you do not want your name shared, check the box.


CHECK ACCEPTANCE POLICY If you pay by check and your check is returned to us, it will be re-presented electronically and your account will be debited for the amount of the check plus a fee of $35.


SURPRISE BONUS BULBS are sent with all $25.00+ orders. ITEM #


QUANTITY NAME OF VARIETY 10% discount on orders received by March 1, 2012.


PHYSICAL ADDRESS Include street, road, fi re no., etc. so our delivery carriers can locate you.


P.O. BOX (if applicable) CITY


PAGE # PRICE (Use only if different from address shown above)


STATE


ZIP


IMPORTANT – VERIFY YOUR SHIPPING ADDRESS! Be sure to include a complete physi- cal address (street, road, fi re number, etc.). Postal and delivery services will not forward. We can only guarantee delivery to addresses we are given.


REQUESTS FOR SPECIAL SHIP DATES: Special ship date requests require an extra $15 handling fee. No special ship dates are accepted for delivery before February 1 or after May 1. We can only ship items that are in stock on the requested ship date. Please add $15 to the last merchandise line of your order, along with your requested ship date.


LEAVING ON A TRIP? Please make arrangements for care of your package if it arrives while you are gone. We cannot be responsible for orders that are not properly cared for once they are received.


SHIPMENT NOTIFICATION: We will notify you when your order is shipped and will also provide tracking information if you provide us with your E-mail address in space above.


❑ SUBSTITUTION SERVICE If we run out of an item, we often can provide a similar variety of equal or greater value. If you do NOT want a substitute, please check the box.

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