The Tenth Annual - Healthcare Design Magazine

2012 Convention
Plant Rental Form
Phone: (602) 738-8126
Fax: (602) 595-0861
arizonaplants@yahoo.com
Show
Name:
Location
Room
Show Setup
Show Starts
Show Ends
Show Name / Location / Room#:
Healthcare Design Conference
Phoenix Convention Center
North Building Halls A-E
Dates & Times
Exhibitor or Management Information
Mailing Address
Arizona Plant Company
10214 N. Central Ave.
Phoenix, Arizona 85020
www.arizonaplantcompany.com
Qty Floral Arrangements Price Total
Traditional Shape Size Color
$45.00
Traditional Tropical Shape Size Colo
Traditional Tropical Shape Size Color
Traditional Tropical Shape Size Color
(Other Needs) Please call for a Quote.
$65.00
$75.00
$95.00
Qty Potted Flowers Price Total
Mums: yellow $20.00
Bromeliads Yellow Red Orange $25.00
Booth# Azaleas: Red White Pink $25.00
Company Kalanchoes: Red Yellow White $25.00
Contact Qty Green Plants Price Total
Phone/Fax Small Fern
$15.00
Address Large Fern
$30.00
City State Zip
Payment Information Amex Visa M/C or Check
x.
Print Cardholders Name
Zip Code for Card
3 Foot Plant
$39.00
4 Foot Plant $49.00
5 Foot Plant $59.00
6 Foot Plant $69.00
x. 7 Foot Plant
Credit Card Number
Code on Back of Card & Exp.Date
x.
Authorized Signature
$79.00
Subtotal
x.
E-mail Address of Cardholder
Brede:
Used for your recipts only.
Tax 9.3%
$10 Delivery or 10% if subtotal is over $100
Total