Corona Cactus Nursery LLC. Corona, CA Email: CCN@coronacactus.com Paypal: info@coronacactus.com			Mail Order Form	Date:_______________
		Shipping Options:
________ USPS Priority Mail ________ USPS First Class – Parcel Post Additional Services: ________ Insurance Payment Methods: ________ Paypal ________ Personal Check ________ Money Order
		Sold to:
Customer Info Name:______________________________________________________________ Phone:________________________________ Address:_____________________________________________________________Email:_________________________________ City:_________________________________________________ State:______________________ Zip:______________________ Your *send to* Paypal email:___________________________________________
		Ship to:
Customer Shipping Info Name:______________________________________________________________ Phone:________________________________ Address:_____________________________________________________________Email:_________________________________ City:_________________________________________________ State:______________________ Zip:______________________
Quantity	Item #	Plant Name			Unit Price	Amount
					Subtotal
		Actual shipping rates will be calculated per order			Shipping
		Additional Shipping Options			Insurance
		(California Residents Only) 8.75% CA tax to be added to Subtotal			CA State Tax
					TOTAL
		Subtract any previous credits or discounts			Credit
					TOTAL
		Substitutes:
Item #	Plant Name					Price