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Print & Deliver
FAX and Mail
Order Form
Shipping Address:
Your Name:
Company Name:
Street Address:
City:
State:
Zip:
Telephone:
..Please, for answering order questions.
email:
Plant Name
Qty.
Unit Price
Total
Sub-Total
Delivery to a California Address add 7.5% Sales Tax
Shipping/handling the larger of $8 or 8% of Sub-Total
Order Total
Payment Method
Check
Credit Card
If paying by credit card:
Card Type:
MasterCharge
Visa
Card No:
Expiration Date (mm/yy):
Name Appearing on Card:
Print Form - Fax or Mail Order
P. O. Box 386
Valley Ford, CA 94972
FAX & Voice (707) 876-3496
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