Outback Greenhouse Speciality Planters
Customer Order Form
Name: *
Telephone: *
Container Description *
Which location will you pick your order up from *
What type of environment will your container be in.
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Preferred colors
Clear selection
Would you like extra greens?
Clear selection
Date requested for pick-up ( a minimum of 1 week after container has been received at Outback Greenhouse
Any other special instructions
Any other plants or baskets requested with this order
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