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Roberta's Plant Replacement Form

Name *
 
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Last *
 
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Ph. # affliated with QVC account or # used when placing the original order. *

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Please Provide your full address
 
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Email *
 
Order Number
 
Order Date

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Item Number
 
Name of Item *
 
How many plants do you need replaced? *
 
Colors needed within set
 
Choose the reason for replacement *
 
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