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Please mail order form with your check or money order. You may also fax or phone the order with your Visa or MasterCard info. Full payment is required with your order. Name________________________________ Home Phone______________________ E-Mail______________________________ Work Phone_______________________ Address_____________________________ City/State/Zip___________________ Shipping Address (if different from above): ____________________________________ City/State/Zip___________________ Type of Event_______________________ Event Date_______________________ Butterflies:Painted Ladies: _____ (2 Doz. Min) dozen @ $ 88.00 ________ Package 1: ____ 25 Painted Ladies/ 5 Monarchs $115.00 ________ Package 2: ____ 50 Painted Ladies $150.00 ________ Package 3: ____ 100 Painted Ladies $250.00 ________ Release Cages / Mass Release Box: Decorated Mass Release Box ______ @ $25.00 ________ Designer Release Cage ______ @ $22.00 ________ Hand-Held Display Cage-Small ______ @ $37.00 ________ Custom Display Cage-Large ______ @ $47.00 ________ Shipping is included with the above cage orders. Extra charge can be added for rush/last minute orders) TOTAL FOR ORDER: ________ Envelopes, Inscription & Colors: Individual Release Envelopes: Color ______________ Inscription desired on Envelopes : _________________________________ _________________________________ Decorated Mass Release Box: White or Ivory Custom Display Cages: White or Ivory Butterfly-Kisses 2400 Curryville Road Chuluota, FL 32766 407-366-8299 (phone) 407-971-9600 (fax)
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