Flowerbase Secure Order Form
Use this order form to submit your order. We will mail the order to you by air mail within 24 hours of your submitting this form. We thank you for shopping at Flowerbase!

Step 1 Please enter the following personal details;

Name:
Delivery address:
Zip:
Country:
Telephone:
Fax:
Email:

Step 2 I would like to place an order for the following items:
Check the boxes for items you wish to order

Sampler Packs

Try before you
buy - refunded on
purchasing or
registering
FLOWERBASE
online for just
$US49.95!

 FLOWERBASE for Windows "Sampler Pack".
FLOWERBASE for Macintosh "Sampler Pack".
FLOWERBASE for Power Macintosh Sampler Pack.
FLOWERBASE for DOS Tutorial. 		$24.95
$24.95
$24.95
$24.95
Packages Package: FLOWERBASE "Starter Kit".
Package: FLOWERBASE "The Works".		 $292.00
$512.00
Data Modules English and FES Flower Essence Remedies.
Dr. Bach's Remedies Today.
Australian Bush Flower Essences.
Living Essences of Australia.
Renascent Gem Essences.
Home Garden Flower Essences. 		$79.95
$49.95
$49.95
$49.95
$49.95
$49.95

Total price of items ordered (add 10% for air mail to any destination): $

Step 3 Select your computer's operating system;

Step 4 Select your preferred diskette size;

Step 5 Payment

Please email other payment options

Please charge the above total to my credit card;

Card number:
Name on card:
Expiry date:

Questions or comments (optional):

Step 6

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