Orchid Ordering Form

Due to technical issues, our order forms are currently inoperative.
Please call us directly at (719) 471-1133 and we will be happy to assist you.

Billing Information
* Name
Company Name
* Billing Address
Billing Address
* City
* State
* Zip
* Phone
* Email address
* Confirm Email
* Required Information
*Delivery Information if different from above*
Name
Company Name
Address
Address
City
State
Zip
Phone

Special Instructions Delivery Card Message Delivery Date:
Credit Card Information
* Credit Card Discover Card MasterCard VISA
	* Name on Card * Credit Card Number	Exp. Date	Month	Year

A charge of $10 will be added to your order for Metro delivery.

We will call you to confirm your order within 24 hours.

1219 W. Colorado Ave.
Colorado Springs, CO 80904
e-mail: info@The-Basket-Case.net
Ph 719-471-1133 FAX 719-475-1700

Select item, enter quantity and a price category. You will be contacted within 24 hours for verification and special instructions. ** We reserve the right to make substitution with the products based on product availability.
2 Orchids with Fern in Wicker Qty Price each	3 Assorted Orchids in Wicker Qty Price each	3 Phalaenopsis in Decorative Pot Qty Price each	3 Spike Phalaenopsis Qty Price each
Single Phalaenopsis in Clay Qty Price each	Oncidium in Clay Pot Qty Price each	Brassia in Clay Pot Qty Price each	Dendrobium in Decorative Pot Qty Price each
Single Orchid Plant Qty Price each	Multiple Orchid Plant Qty Price each	Best of Both Worlds Qty Price each