First Name                  Last Name

Street Address           City

State          Zip

Card Type             Card Number          Expiration Date

Tiger lily $5.50

Tulip $4.00

Tasmanian violet $5.50

Sunflower $5.50

Rose $6.00

Red cestrum $7.50

Queen's Tears $10.00

Lawn and Garden Insect Killer $22.50

Gardening Gloves $6.50

Gardening Spade $10.00