| 
   Order FormPage 
  (outside Germany)  
   | 
 
 
  | 
   Please fill in this
  form, print it out and send it by fax or mail to ...  
  MYORCHIDS 
  Dr. Heinrich Beyrle 
  Lindenmahdstr.19 
  86382 Stadtbergen  
  GERMANY  
   | 
  
   Name:  
   | 
  
  
   | 
 
 
  | 
   Address:  
   | 
  
  
   | 
 
 
  | 
   Tel:  
   | 
  
  
   | 
 
 
  | 
   Facsimile:  
   | 
  
  
   | 
 
 
  | 
   Email:
   
   | 
  
  
   | 
 
 
  | 
   Method of Payment (please
  tick relevant box): Payment in advance by ... PayPal    
  heinrich.beyrle@t-online.de 
   | 
 
 
  | 
  
   | 
  
   MasterCard/Eurocard No.:         
  Expiry Date:   
   | 
 
 
  | 
  
   | 
  
   Visa/Diners Club No.:         
  Expiry Date:   
   | 
 
 
  | 
  
   | 
  
   JCB
  No.:         
  Expiry Date:   
   | 
 
 
  | 
  
   | 
  
   Giro
  transfer to Dr. Heinrich Beyrle, Commerzbank, , IBAN  
  DE51 7204 0046 0122 2322 00 
   | 
 
 
  | 
   Ref. No.
   
   | 
  
   Plant
  Name (optional)  
   | 
  
   number of
  plants  
   | 
  
   Unit Price €  
   | 
  
   Price Total €  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
    
   | 
  
    
   | 
  
    
   | 
  
    
   | 
  
  
   | 
 
 
  | 
   Thank you very much for your order!    
  Your order will be sent after receipt of payment. Shipment will be
  during  June to   October.  
   | 
  
   Subtotal, Order Value (min. €
  20,00) 
   | 
  
  
   | 
 
 
   | 
   | 
 
 
  | 
   Less 7 % VAT (only outside
  E.C.) 
   | 
  
  
   | 
 
 
  | 
   Plus charges for postage & packing      8 € 
   | 
  
  
   | 
 
 
  | 
     
   | 
  
     
   | 
 
 
  | 
   Grand Total  
   | 
  
  
   |