Seed Order Form

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Seed Order Form
Phone 563.535.7231
Fax
563.535.7362
Contact Information Below
Date
Helping You Create
P.O.#
Your Own
Tax ID #
Natural Beauty
Company
Name
Billing Address
City|State|Zip
Credit Card Information
Shipping Address
Company | Name
Type
City|State|Zip
Number
Phone 1
Exp Date
Phone 2
3 Digit Code
Email
Check Number
Need By /Ship Date
Line
Item Code
Description
Unit Price
Extended Price
PKT | LB | OZ
GRAMEA-MES_MIX_LB
Grand Meadow Mesic Site Mix
$150.00
$300.00
Example
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Subtotal
Shipping Information
Seed S/H $
Seed Orders - Add 5% to the Seed Subtotal or $10.00 Minimum. Seed
Subtotal $
orders are shipped year round. All orders are shipped UPS Ground.
Iowa Residents Tax 7%
Total $

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