Note:Print out this form and fill out in
pen & send with payment.
![]()
customer, can call or fax in your order if $25+ Phone (650) 325-7333
Order blank-- San
Mateo County customers - FAX (650)325-4056
Name:.................................................
Address:..............................................
Town, .....................................Phone (day)...........
state, zip
__________________________________________________________________
Quantity |.....Name of Variety..................|
Exempt | Taxable
_________|______________________________________|________|_________
_________|______________________________________|$_______|$________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
_________|______________________________________|________|_________
......................................Subtotal $_________$_________
...............California 8-1/4% sales tax >>>>>>>>>>$_________
..........Add Exempt Subtotal to taxable column>>>>>>>>>>$_________
............................Postage
and Packing>>>>>>>>>>$_________
.......................TOTAL AMOUNT ENCLOSED>>>>>>>>>>$_________
Credit card __Mastercard, __Visa: Expires __ __/__ __
__ __ __ __/__ __ __ __/__ __ __ __/__ __ __ __