Print this form and mail with check payable to:

Parent Resource Center
P.O. Box 582893
Modesto, CA 95358

Or call us at (209)549-8193 with your order paid by credit card.

DELIVERY DATE – THURSDAY, DECEMBER 10, 2009
(click HERE for December 17 order form)

Order deadline – Monday, December 7, 2009

Name:_______________________________________________________

Delivery Address: (Del. available - 5 or more reg. &/or any # of large plants)

Street: ______________________________________________________

Phone: (H) _______________________(W)_________________________

QUANTITY COLOR

Regular | Large

_______|_______ Red (Large only available in Red)

_______| White

_______| Burgundy

_______| Jingle Bells

_______| Monet



Total Regular Plants - ___________ x $12.00 = ______________

Total Large Plants - _____________ x $30.00 = ______________

TOTAL COST = _______________

Make checks payable to: Parent Resource Center

Mail to: P.O. Box 582893, Modesto, CA 95358

CREDIT CARD PHONE ORDERS AVAILABLE (209)549-8193.
You may also place your order securely online through PayPal.