*required fields 1. CONTACT INFORMATION *Name: *Address: *City: Best Time To Call: Morning Afternoon Evening Anytime Comments: *Email: Area/Major Streets: Postal Code: *Primary Contact#:(e.g. 1234567890) Ext.(if any): Home Cell Work Secondary Contact#: Ext.(if any): Home Cell Work Type of Property: Residential Commercial Click “Numbered Tabs” below to move between sections. Click “Submit” button once all sections are complete. A friendly member of our team will contact you regarding your Waterplants order. 2. Floaters 3. Oxygenators 4. Hardy Shallow 5. Lilies 6. Speciality Plants 7. Tropical Shallow FLOATERS NAME REFERENCE PICTURE QUANTITY (Enter the order quantity in the box) WATER HYACINTH WATER LETTUCE OXYGENATORS NAME REFERENCE PICTURE QUANTITY (Enter the order quantity in the box) BACOPA HORNWORT DWARF PARROT FEATHER HARDY SHALLOW NAME REFERENCE PICTURE QUANTITY (Enter the order quantity in the box) GAMECOCK IRIS CARDINAL FLOWER YELLOW MONKEY FLOWER ARROWHEAD CREEPING JENNY SPEARWORT VARIEGATED SWEET FLAG ZEBRA RUSH DWARF CATTAILS YELLOW WATER IRIS LILIES NAME REFERENCE PICTURE QUANTITY (Enter the order quantity in the box) BLACK PRINCESS INDIANA LILY COMANCHE PINK SENSATION SUNRISE YELLOW LILY SURPRISE SPECIALITY PLANTS NAME REFERENCE PICTURE QUANTITY (Enter the order quantity in the box) SACRED PINK LOTUS MONO BOTAN LOTUS PURPLE FANTASY LILY PAPYRUS Tropical Shallow NAME REFERENCE PICTURE QUANTITY (Enter the order quantity in the box) CANNA - BENGAL TIGER CANNA - AFRICAN SUNSET IMPERIAL TARO
