PRINT THIS FORM and mail it . . . or
Call, e-mail or FAX Jennifer with your orders,
Monday through Friday, 9 a.m. to 3 p.m. EST.
E-Mail:  locotzinc@embarqmail.com  TELEPHONE: 239-283-5599
FAX:239-283-0532   Toll-Free 1-866-456-2687
 Pepper Flakes from  Sanibel Biological Supply

_____ # of   Pepper Flakes                 @ $6.00 = $ _____


          [shipping and handling fee ...]                     $4.95

 

                Florida Residents add 6% Sales Tax:    _____

                                                            TOTAL = $ _____

       ship to:      name: _____________________________

       address: ____________________________________

                         ____________________________________

                          ____________________________________

                        (MASTERCARD or VISA only)
Credit Card # ______________________ exp date ___/___

Name (as it appears on card) ________________________

Card Billing Address: (SAME as shipping address above?) ____ Yes

   ___________________________

   ___________________________

   ___________________________

Make check to:  Sanibel Biological Supply
Send Check or Money Order :

Sanibel Biological Supply
5576 Doug Taylor Circle
St. James City, FL 33956