Synthesis of the North American Flora Order Form

Quantity	Product	Price per copy	Subtotal
	Synthesis of the North American Flora, Version 1.0	$495.00 U.S. dollars (includes shipping)	$
North Carolina residents please add 6% sales tax ($29.70 per copy)			$
Total			$

_____ I enclose a check made payable to the Botanical Garden Foundation, Inc.

_____ I enclose a purchase order with invoicing information.

_____ Please charge my credit card: ____Visa ____Master Card

Account number:________________________________________Exp. date___________

Name on card:____________________________________________________________

I authorize the Botanical Garden Foundation, Inc. to charge the total order amount shown above to my account.

Signature:_________________________________________________________________

Shipping address:

Name:____________________________________________________________________

Company/Agency:___________________________________________________________

Mailing address:_____________________________________________________________

_________________________________________________________________________

City:________________________________ State/Prov:______ Zip/Post code:_________

Please send your order to:
Synthesis
North Carolina Botanical Garden
University of North Carolina at Chapel Hill
Campus Box 3375, Totten Center
Chapel Hill, NC 27599-3375

Credit card orders may be faxed to the attention of Frances Allen at: (919) 962-3531.