ORDER FORM
Name: __________________________________________________________________________
(Please print)
Address:
State: ______________________
Zip: __________ E-mail/Phone:_______________________________
Grass Cards (8 cards/set)
Ornamental Grasses ..........................................................
# of sets _______ x $10.00 = $________
Native Grasses ..................................................................
# of sets _______ x $10.00 = $________
TX or CA Grasses .............................................................
# of sets _______ x $10.00 = $________
Thank
You ……...............................................................
# of sets _______ x $10.00 = $________
Please indicate English or Latin (Gratias multas)
Field Collecting Bag
(Armenian styling) .............................................. # of bags ______ x $65.00 = $_________
Bags are water repellent and made of heavy Duck Cloth. Proceeds
from bag sales go toward botanical research in
Herbarium Specimen Prints
(Circle selections and indicate
mat color desired – Lapis, Madeira Red, Sable, Cream, or Grass Green)
Ferns:
Adiantum capillus-veneris (Common
Maidenhair)
Adiantum aleuticum (Aleutian
Maidenhair)
Athyrium filix-femina (Common Lady
Fern)
Cystopteris fragilis (Brittle Bladder Fern)
Dryopteris felix-mas (Male Fern)
Polystichum lonchitis (Northern Holly Fern)
Dicots:
Castilleja chromosa (Desert or Common Indian Paintbrush)
Erigeron speciosus (Showy Fleabane)
Eriogonum umbellatum (Sulphur Buckwheat)
Hedysarum boreale (Northern Sweet vetch)
Iliamna rivularis (Stream bank Wild Hollyhock)
Ipomopsis aggregata (Scarlet Gilia; Skyrocket)
Linum perenne (Wild
Blue Flax; Lewis Flax)
Pedicularis groenlandica (Elephanthead Lousewort)
Penstemon cyananthus (Wasatch Beardtongue)
Penstemon eatonii (Eaton’s Penstemon)
Polemonium foliosissimum (Towering Jacob’s Ladder)
Primula parryi (Parry’s
Primrose)
Prunus virginiana (Chokecherry)
Rubus parviflora (Thimbleberry)
Solidago canadensis (Canada Goldenrod)
Monocots:
Achnatherum hymenoides (Indian Ricegrass)
Calochortus nuttallii (Sego Lily)
Cyperus erythrorhizos (Redroot Flatsedge)
Cypripedium parviflorum (Lesser Yellow Lady’s Slipper)
Disporum trachycarpum (Roughfruit Fairybells; Wartberry Fairybells)
Epipactus gigantea (Giant Heleborine)
Erythronium grandiflorum (Glacier Lily)
Melica bulbosa (Oniongrass)
Zigadenus elegans (Mountain Death Camas)
Price:
Unframed: $15 each or 3 for $30
Framed: $25 each or 3 for $65
Discounts are available for large
quantities. Please contact Michael Piep @ (435) 797-0061 or
fungi@biology.usu.edu.
# of prints ______ x $_______
= $_________
____________________________________________________________________________________
Shipping and handling:
|
Subtotal |
shipping |
|
$1 to 5 |
$3.50 |
|
$6 to 10 |
$6.50 |
|
$11 to 20 |
$9.50 |
|
$21 to 30 |
$12.50 |
|
$31 to 60 |
$15.50 |
|
$61 to 90 |
$18.50 |
Please add $3.50 for each
additional $15 increment.
Subtotal: $________________
Shipping: $________________
Total: $________________
Make checks or money orders payable
to:
Intermountain
Herbarium
5305
Old Main Hill
Please allow 2-3 weeks for
delivery.