This document is an order form for poinsettia cuttings from Syngenta Flowers for the 2011 summer shipping season between weeks 21 and 39. It requests information about what cuttings to ship, when to ship them, and where to ship them to. The back of the form provides the price per 100 cuttings for different cultivars, as well as terms and conditions of the order such as pricing tiers based on volume, claims and return policies, and cancellation fees.
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1. 2011 POINSETTIAS ORDER FORM – SYNGENTA FLOWERS POINSETTIAS
Summer Shipping Season: Weeks 21–39, 2011
Please fill in all information requested, but please MULTIPLES: Rooted
SHIP TO
do not write in the shaded boxes. See the
reverse side for prices and conditions of sale. Company name 1 tray = 100 cuttings + 4% overcount
Address
CUTTING TYPE: Rooted
City MINIMUM ORDER: Rooted
SHIP WEEK: One ship date per order form State Zip code Minimum order per cultivar: 100 cuttings
(For additional ship weeks, please make photo copies of this form.) Minimum total order: 200 cuttings
Your name
1 1 Telephone
MONTH DAY YEAR
Fax DATE ORDER RECEIVED
(should be a Monday)
MO. DAY YR.
E-mail
ECKE CSR
PURCHASE ORDER NO. Ship to address (if different)
INCOMING n MAIL n PHONE n FAX
n IN PERSON n OTHER n E-MAIL
ORDER TYPE n NEW n CHANGE n CANCEL
ORDER NO. Airport of destination
Special shipping instructions
BROKER SALES REP
O N E - S T O P S H O P P I N G : Ecke’s production and quality combined with Fischer genetics
IPF* PER IPF* PER
CULTIVAR NAME 100 CUTTINGS
ORDER IN TRAYS CULTIVAR NAME TRAYS
ORDER
IN 100 CUTTINGS
ORDER IN TRAYS
Carousel Dark Red
™
$4.00 Novia Red™
$4.00
Cinnamon Star ™
$4.00 Olympus Red ™
$4.00
Cortez™ Burgundy $4.00 Orion™ Red $4.00
Cortez Electric Fire
™
$4.00 Red Elf ™
$4.00
Cortez™ Pink $4.00 Ruby Frost™ $4.00
Cortez Early Red
™
$4.00 Silverstar Marble™
$4.00
Cortez White
™
$4.00 Silverstar Red ™
$4.00
DaVinci™ $4.00 Sonora™ Marble $4.00
Early Orion Red ™
$4.00 Sonora Pink ™
$4.00
Marblestar™ $4.00 Sonora™ Red $4.00
Maren™ $4.00 Sonora™ White $4.00
Mars Marble
™
$4.00 Sonora Early White Glitter
™
NEW! $4.00
Mars™ Pink $4.00 Whitestar™ $4.00
Mars™ Red ‘09 $4.00 TOTAL TRAYS
Mars™ White $4.00
Mira™ Red $4.00
TOTAL TRAYS ORDERED
Mira White
™
$4.00
TOTAL TRAYS * = Intellectual Property Fee
Paul Ecke Ranch • P.O. Box 230488, Encinitas, CA 92023-0488 USA
Phone: (760) 753-1134 • Fax: (760) 944-4054 • www.ecke.com