Plant Order Form/Mailing List
NAME
ADDRESS
CITY/STATE/ZIP
COUNTRY
TEL
EMAIL
I'm not ordering right now, but keep me
on your mailing list for:
Plant catalogs Visionary Tryps
I would
like to order the following:
San Pedro Cactus 1ft
cutting $20 X Quantity
Total
San Pedro Cactus 3ft. tall in pot $75
XQuantityTotal
Ayahuasca Vine (B. caapi) 1 oz $30X
Quantity Total
Chacruna (P. viridis) 1 ounce $30 X
Quantity
Total
Shipping and handling $5 under 5 lbs, $15
5-10 lbs. Total
Check or Money order in mail (Allow a week for us to
receive payment)
Visa Mastercard
Card No.
Exp. Date
Mail to Shamanismo, 221 San Miguel Drive,
Sedona AZ 86336
THANKS FOR YOUR ORDER!