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Plant Claim Form




Name:
Email Address:
Phone Number:


Order Number:
Customer Number:
-OR-
Street:
City:
State:
Zip:


Item Code:
-OR-
Plant name:

Quantity Affected:
Desired Action:
*A refund will be credited to original method of payment.

If a plant has failed, please indicate the growing conditions they have experienced
(i.e. sun, water, and soil exposure)

Description of Problem and Growing Conditions:



Please enter the following code into the box provided: