Tax Exempt Order Form – Rotary Flower Barrels

Company
This field is for validation purposes and should be left unchanged.
Business Name*
Contact Person*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Delivery Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Contact Email*
Contact Phone*
Tax Exempt Form*
Accepted file types: pdf, jpg, jpeg, png, Max. file size: 2 MB.

Using the above file selector, please upload your Certificate of Exemption here.(more info)
Number of Metal Barrels
Price:
Quantity
Please enter a number from 0 to 10.
Number of Terracotta Barrels
Price:
Quantity
Please enter a number from 0 to 10.
Number of Hanging Baskets
Price:
Quantity
Please enter a number from 0 to 10.
Additional Donation
Special Delivery Notes
Total
$0.00
Payment Options*
- Pay with Credit Card
- Pay By Check

Credit Card

Cardholder Name

Card Details