MILES' TO GO                DATE:________
P.O. BOX 6                  SHIPPING PREFERENCE
CORTARO, AZ 85652           ____PRIORITY MAIL (FREE)
520-682-7272                ____EXPRESS MAIL (YOU WILL BE CHARGED
FAX 520-682-0480                ACTUAL COST FOR EXPRESS MAIL)
E-mail Miles2G@aol.com      ____POSTAL CARRIER RELEASE

                          ORDERED BY:
Name _________________________________________Phone_______________
Address___________________________________________________________
City __________________ State ______________________ Zip__________
Visa, M/C, AMEX No.______________________________V-Code___________
Exp. Date________Signature________________________________________

               SHIP TO:(If different than above.)
Name _________________________________________Phone_______________
Address___________________________________________________________
City __________________ State ______________________ Zip__________

                  PLANT ORDER MINIMUM $25.00
|Quantity|__Cat#_|___________Name___________|Unit Price|__Amount_|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
|        |       |                          |          |         |
|________|_______|__________________________|__________|_________|
                                                       |         |
                                              SUBTOTAL |_________|
SHIPPING: IF SUBTOTAL IS LESS THAN $25 ADD $7.50       |         |
          IF SUBTOTAL IS $25 OR MORE SHIPPING IS FREE  |_________|
                                                       |         |  
   STATE TAX (ARIZONA RESIDENTS ONLY) 6.1% OF SUBTOTAL |_________|
                                                       |         |
                                                 TOTAL |_________|
                                                       |         | 
                                  LESS PREVIOUS CREDIT |_________|
                                                       |         | 
                                           ORDER TOTAL |_________|
                           SUBSTITUTES
__CAT#________________________NAME________________________PRICE__
|________|_____________________________________________|_________|
|________|_____________________________________________|_________|
|________|_____________________________________________|_________|
|________|_____________________________________________|_________|
|________|_____________________________________________|_________|